Improving Transitions of Care - NTOCC

Improving Transitions of CareTHE VISION OF THE NATIONAL Transitions OF care COALITIONMAY 2008 Improving Transitions OF care :TABLE OF CONTENTSI. EXECUTIVE BACKGROUND .. NTOCC .. are Transitions of care ?..5IV. GAPS IN care AND THE COSTS OF FRAGMENTED care .. 6V. POTENTIAL AREAS FOR IMPROVEMENT IDENTIFIED BY NTOCC .. 8A. Improve communications during Transitions between providers, patients and Implement electronic medical records that include standardized medication reconciliation points of accountability for sending and receiving care , particularly for hospitalists and Increase the use of case management and professional care coordination .. 18E. Expand the role of the pharmacist in Transitions of care .. 21F. Implement payment systems that align incentives and include performance measures to encourage better Transitions of care .. 22VI. A: Medication Reconciliation ElementsAPPENDIX B: Personal Medicine ListAPPENDIX C: Elements of Excellence in Transitions of care (TOC)APPENDIX D: Proposed Framework Outline for Measuring Transitions of CareAPPENDIX E: 1 Improving Transitions OF CAREP atients1face significant challenges whenmoving from one health care setting to anoth-er.

IMPROVING TRANSITIONS OF CARE 1 Patients1 face significant challenges when moving from one health care setting to anoth-er. As currently structured, the United States’ health and long-term care system fails to meet

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