Transitions of Care
AMDA is actively involved with the National Transitions of Care Coalition (NTOCC). Jim Lett, MD, CMD and Jacqueline Vance, RNC, AMDA Director of Clinical Affairs are on the NTOCC advisory task force. Dr. Lett and Ms. Vance are on the following workgroups of the NTOCC and have assisted in the development of the tools this site links to:
Education & Awareness Workgroup: Working to address awareness and general knowledge about the problems associated with transitions of care and provide the necessary information to various stakeholders – patients, caregivers, health care professionals, and government officials.
Tools & Resources Workgroup: Identifying practical tools and resources that can be used by health care professionals, caregivers, and patients to improve communication in a consistent manner between care settings and reduce risk associated with care transitions.
Policy & Advocacy Workgroup: Assessing ways to improve care through enhanced communication tools, collaborative partnership, and enhanced reimbursement for transitional care support and technical medical information shared between care settings.
Performance & Metrics: Assessing and defining appropriate performance measurement frameworks to demonstrate the impact of interventions on reducing risk associated with transitional care.
The NTOCC members are supportive of AMDA’s work in transitions of care.
Transitions of Care in the Long Term Care Continuum Practice Guideline
Public Access Electronic Version
Tools and Resources for Consumers
My Medication List
Taking Care of My Health
Tools and Resources for Practitioners
Transitions of Care Checklist
How to Implement and Evaluate a Plan
Medication Reconciliation Essential Data Specifications
My Medication List
Transitions of Care Measures
Informational Slide Deck
Informational Brochure
Products and Publications
Transitions of Care (AMDA Clinical Practice Guideline published 2010)
Improving Care Transitions From the Nursing Facility to a Community-Based Setting (AMDA White Paper, March 2009)
Improving Transitions of Care: The Vision of the National Transitions of Care Coalition (May 2008)
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