A research and policy agenda for transitions from nursing homes to home
August 7, 2019
CAPS: Communicating With Patients and Families for Smooth, Safe Transitions
August 7, 2019

MI system leads in effort to improve transitions

In discharging patients, use a risk assessment tool to identify at-risk patients. Create interventions based on findings from screening tool: Multidisciplinary collaboration is key to positive discharges.

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