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| "The home visit was the most beneficial to my wife and me. She takes so many medications and in the past has
been confused on how to keep them straight. The Transitions Coach® helped us to learn how to use a medication
organizer that made it easy to know which ones had been taken and which pills needed to be taken. The Transitions Coach ®also advised us how
to talk to our doctor to ask if some of the medications could be stopped. My wife now takes only 5 medications instead of 8."
~ patient testimonial |
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The Transitions Coach® is key to encouraging the patient and family caregiver to assume a more active role in their care. The Transitions Coach® does not fix problems and does not provide skilled care. Rather, they model and facilitate new behaviors and communication skills for patients and families to feel confident that they can successfully respond to common problems that arise during care transitions. Thus in the role of patient empowerment facilitator, the Transitions Coach® provides information and guidance to the patient and/or family for an effective care transition, improved self management skills and enhanced patient-practitioner communication. Video Clips As part of our dissemination effort, the Care Transitions Program® has collected several short video clips of patients participating in and commenting on the Intervention. The clips below show patients in hospital and home visits, interacting with a practitioner, and commenting on the utility of the intervention. |
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The Care Transitions Program® is made possible in part by the generous
support of The John A. Hartford
Foundation. |
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The Care Transitions Program® is based in the Division of Health Care Policy
and Research at the |
Transitional Care
