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Transitions of Care: Leaving the Hospital


Transitions of Care: Leaving the Hospital

University of Texas Southwestern Medical Center
Kathryn J Eubank, CT, M. Jane Mohler, CT, Lindsay Oksenberg, CT, Craig Rubin, CT, Mindy Fain, CT
Donald W. Reynolds Foundation
POGOe Id: 
Date Posted: 
Date Reviewed/Updated for Clinical Accuracy: 

This is a web-based, online, interactive module on "Transitions of Care: Leaving the Hospital" that is appropriate for learners from all disciplines who are involved in helping patients transition from hospital to home. It uses multiple learning modalities including patient scenarios, videos, interactive multiple-choice questions, and a narrator with visual aids and illustration. It also includes printable aids with links to check lists, samples of discharge summaries, and outside resources. This module was developed with collaboration betweenThe University of Texas Southwestern Medical School and The University of Arizona Health Science Center.  

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Educational objectives: 

Upon completion of this module the learner will be able to:

  1. Define transitional care and recognize why it is important
  2. Describe how transitions affect quality of care and patient safety
  3. Prepare a patient for a safe transition
  4. Write targeted and high quality discharge summaries
Geriatric Competencies: 
Learning resource types: 
Estimated time to complete: 
30 minutes
Conflict of Interest Disclosure: 
No, I (we) have nothing to disclose.
Already Expired Email Date: 
Wednesday, February 28, 2018 - 9:57am
Already Expired Email 1 month date: 
Thursday, March 15, 2018 - 8:35pm
Expired Email Date: 
Friday, March 30, 2018 - 11:23pm
Contact Person/Corresponding Author:
Kathryn Eubank, MD

Suggested Citation:
Transitions of Care: Leaving the Hospital. POGOe - Portal of Geriatrics Online Education; 2012 Available from:


Submitted by epinholt on

This is excellent!  A very well done presentation of important aspects of transitions of care. I have been practicing in a Transitional Care Clinic for 2 years seeing patients post hospitalization who do not have a primary care provider.  I would add that caregiver stress assessment is sometimes needed to ensure proper care of the patient.  Also, orthostatic blood pressure changes are important to check before leaving the hospital and sometimes require medication adjustments or at least patient education.