The Care Transitions Program® | Tools for Health Professionals

"Listen to your patients. They are telling you how to improve quality and safety during care hand-offs."
~ Eric A. Coleman, MD, MPH

Tools for Health Professionals

Discharge Preparation Checklist
10 Things Physicians Need to Know About Coaches

Spanish translation

Russian translation, provided by the Boston Visiting Nurse Association

Personal Health Record (PHR)

Spanish translation of the Medication Record

Sample Spanish PHR, provided by one of our partners, Visiting Nurse and Hospice Care

Sample Transitions Coach^® Charting Form
Patient Activation Assessment form
Coach database

(Please note: this is a zipped file. To access it, click "save" on the pop-up window and save the folder to your hard drive. When the download is complete, click "close" on the pop-up window. Locate the coach.zip folder on your hard drive, right click on it, and select "extract all"). While this database is available for public use, our program does not have the resources at this time to provide technical support on its use.

Frequently Asked Questions
Care Transitions Measure (CTM^®)
Sample Transitions Coach^® Scripts:
To Introduce the CTM^®) to patients
For the Home Visit
Run Chart Templates:
CTM^®
Patient Activation Assessment

Additional resources:

The Institute for Healthcare Improvement's How-to Guide: Creating an Ideal Transition Home for Patients with Heart Failure

The Care Transitions Program^® is made possible in part by the generous support of The John A. Hartford Foundation.

The Care Transitions Program^® is based in the Division of Health Care Policy and Research at the
University of Colorado Denver, School of Medicine.