Getting Started

Getting started in your initiative will likely follow a series of steps, including identifying your goals and participants, recruiting and convening your community, conducting a root cause analysis, implementing interventions, and measuring results. This section also includes relevant literature and helpful tips for starting a project. Click here to learn more.


When building, governing, and sustaining a locally based coalition, convening key participants up front can help lead to the best opportunities for sustained improvement for your community. To learn more about involving traditional and non-traditional partners in your work, and view examples of participants by setting and role, please click here.

Community Engagement

Recruiting and engaging the community will help to build sustainability from the start. Click here to learn more about community building strategies, coalition charters, publicity, data analytic tools, data sources, reports, and templates, and information on mapping, social network analysis, and overlap.

Root Cause Analysis

The Root Cause Analysis (RCA) process helps to identify the basic factors that underlie variations in outcomes. Through an RCA, you can make decisions and look for sustainable solutions based on data and facts. Click here to learn more about community assessment, tools for conducting an RCA, and potential outcomes.


Learn more about evidence-based intervention models to improve care transitions in your community. This section includes a list of interventions by driver, information on the proportion of transitions table, and a list of QIO-developed tools. Click here to learn more.


Measuring the effect of a care transitions initiative is an important challenge, requiring an understanding of the relevant outcomes and the processes leading to them, meaningful changes, and accurately attributing improvements to the work. Click here to learn more about measurement strategies.

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