Transition of Care Model

The Transition of Care Model is a healthcare approach that ensures patients smoothly move between different settings—like from a hospital to home—and receive continuous, coordinated care. Its goal is to prevent gaps or mistakes by providing clear communication among healthcare providers, patients, and caregivers. This model helps manage ongoing health needs, improves patient safety, and supports recovery by making sure everyone understands the treatment plan, medications, and follow-up steps during these transitions. Ultimately, it promotes better health outcomes by making transitions seamless and well-coordinated.