Care Transitions

What's New:

The Care Transitions Learning Sessions are back in session!

Check out the Learning Session Calls page for upcoming calls and recordings of all of the past calls.

The Care Transitions Theme is a subnational theme that includes 14 QIOs. This theme focuses on improving coordination across the continuum of care. In particular, QIOs will promote seamless transitions from the hospital to home, skilled nursing care, or home health care. QIOs will work to reduce unnecessary readmissions to hospitals that may increase risk or harm to patients and cost to Medicare. CMS will look to QIOs to implement projects that effect process improvements to address issues in medication management, post-discharge follow-up, and plans of care for patients who move across health care settings.

The Colorado Foundation for Medical Care (CFMC), the Medicare Quality Improvement Organization for Colorado, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS Policy.