PT  - JOURNAL ARTICLE
AU  - Jing Li
AU  - Robert Young
AU  - Mark V. Williams
TI  - Optimizing transitions of care to reduce rehospitalizations
AID  - 10.3949/ccjm.81a.13106
DP  - 2014 May 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 312--320
VI  - 81
IP  - 5
4099  - http://www.ccjm.org/content/81/5/312.short
4100  - http://www.ccjm.org/content/81/5/312.full
SO  - Cleve Clin J Med2014 May 01; 81
AB  - Transitions of care—when patients move from one health care facility to another or back home—that are poorly executed result in adverse effects for patients. Fortunately, programs can be implemented that enhance collaboration across care settings and improve outcomes, including reducing hospital readmission rates.