care transition models

Care transition models are structured approaches designed to ensure smooth shifts of patients from one care setting to another, such as from hospital to home or from hospital to rehabilitation. These models focus on effective communication, coordination among healthcare providers, and patient education to prevent gaps in care and reduce the risk of complications. By involving patients and their families in the process, these models aim to enhance understanding of treatment plans, medications, and follow-up care, ultimately leading to better health outcomes and reduced hospital readmission rates.