Care transition encompasses a variety of situations where a patient moves from one care setting to another. During this transition it is essential that critical pieces of information move with the patient to optimize patient care. Frequently critical patient information is lost or miscommunicated during the transition making post-acute and long-term care setting more difficult. In response to rising healthcare costs and challenges with connecting the long-term and post-acute care community Massachusetts awarded grants to develop technology to solve this problem. One program that has successfully created a comprehensive system for coordinating care continuum for acute care patients is the Improving Massachusetts Post-Acute Care Transfers (IMPACT) program. The bottom line: the IMPACT program has reduced post-acute care hospital readmission rates and has served as a tool to set new international standards for post-acute care.
Corresponding author: Stephanie Barnes, BA, JD, 5901 2nd Street Arlington, VA 22203 616-405-3196 (firstname.lastname@example.org).
Stephanie Barnes is a freelance writer based in Arlington, Virginia.
The author declares no conflicts of interest.