Study protocol: improving the transition of care from a non-network hospital back to the patient's medical home.
Roman A AyeleEmily LawrenceMarina McCreightKelty FehlingJamie PetersonRussell E GlasgowBorsika A RabinRobert BurkeCatherine BattagliaPublished in: BMC health services research (2017)
Our current transition of care process has shortcomings. An intervention utilizing a transition care coordinator has the potential to improve this process. Transitioning Veterans to primary care following a non-VA hospitalization is a crucial step for improving care coordination for Veterans.