Ma E, Coleman E, Fish R, et.al. Quantifying Post-Hospital Care Transitions in Older Patients. J Am Med Dir Assoc. 2004;5(2):71-74. http://www.jamda.com/article/S1525-8610(04)70058-4/abstract. Accessed August 7, 2014. After 3 months, 65.3% of MC patients and 75.6% of FFS patients experienced between two and three transfers and an additional 13.8% of MC patients and 14.6% of FFS patients experienced between four and six transfers. Over the next 9 months, the frequency of patient transfers uniformly declined in both payment groups. Conclusion This study demonstrates that interinstitutional transfers are common in older patients. The majority of these transfers occurred within the first 3 months after hospital discharge for both payment groups. Understanding the frequency and patterns of posthospital care transitions is an important step toward designing innovative approaches to improve the quality of care transitions and ensuring patient safety across settings.