This session will cover the many reasons that monitoring and intervening around care transitions is essential to successful population health management in primary care. Attendees will learn about specific strategies for managing patients’ health as they leave one care setting for another or return home from an inpatient setting.


Title:   Transitions of care: what we can do to improve patient safety as patients leave the hospital

Date:  Tuesday, July 26, 2022

Time:  Noon (ET)


Program objectives:

  • Identify threats to patient safety during care transitions.
  • Identify actionable causes of preventable readmissions.
  • Describe outpatient actions that can be taken to address patients at high risk for readmission.
  • Describe the risks associated with Against Medical Advice discharge.
  • Develop an appreciation of the role that hospital admission, discharge, and transfer notifications can play in the coordination of healthcare.


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