Provider Toolkit

Resources for Improving Care Transitions

Improving Care Transitions

This Health Policy Brief examines how care transitions can be made more effective and payment reforms designed to address the problem.

Read the brief

Ten Things You Should Know About Care Transitions

This one-page fact sheet with references explains why care transitions are so critical, outlines key areas of concern, and how the health care system is focusing on improvement. 

Get the fact sheet

Discharge Checklist & Care Transition Plan

This three-page discharge preparation checklist and transition plan can help patients and caregivers track all the information they should understand before leaving the hospital.

Get the checklist

How to Avoid Being Readmitted to the Hospital

This one-page fact sheet can help patients take steps to stay on the road to recovery.

Get the fact sheet

About this Initiative

This RWJF national initiative focuses on improving care transitions to reduce avoidable hospital readmissions, and how nurses, care coordinators, doctors, consumers, caregivers, patients, and others can work together to achieve this.

Learn more