When the elderly and dually eligible populations transition from one healthcare setting to another, they frequently encounter gaps in care that negatively impact their health, unnecessarily prolong hospital stays and specialty care, and unduly increase the burden on caregivers and family. These care gaps are most likely to occur during transitions from primary to specialty care, from the emergency department to the surgical floor, from hospital to home or from in-patient to long-term care.
Closing care transition gaps for these populations is the focus of "Coordinating Care Transitions for the Elderly and Dually Eligible: Fostering Self-Management and Reducing Readmissions."
Throughout this 65-page report, these respected thought leaders will share their unique approaches to care transition management that positively impact cost and engage the patient in their care decisions:
This report is based on 2006 and 2007 audio conferences on the importance of overseeing care transitions in the Medicare, Medicaid and dual-eligible populations.
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