Standards Framework

Transitions of Care Standards

The Transitions of Care Standards are intended as a common framework for all healthcare settings, to foster effective, high quality and efficient care transitions, and are designed in such a way that:

1. They may be applied across care settings.
2. They help organizations assess, quantify and identify gaps in their current care transition work plan.
3. Leaders may use them to identify opportunities to modify current transition of care processes to demonstrate return on investment (ROI) for care transition management.
4. They use recommended measures to guide relevant data collection.
5. They help organizations review and understand care transition related roles and expectations occurs across care settings.
6. They help establish relationships and connections across all health care and community settings.
7. They build a foundation to support longitudinal care management strategies.
8. They provide a framework to evaluate return on investment (ROI) of care transition efforts as a mechanism to reduce utilization and enhance quality and patient experience (Value Based Care ROI)