TY - JOUR T1 - Optimizing transitions of care to reduce rehospitalizations JF - Cleveland Clinic Journal of Medicine JO - Cleve Clin J Med SP - 312 LP - 320 DO - 10.3949/ccjm.81a.13106 VL - 81 IS - 5 AU - Jing Li AU - Robert Young AU - Mark V. Williams Y1 - 2014/05/01 UR - http://www.ccjm.org/content/81/5/312.abstract N2 - 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. ER -