Care Transition
Movement of a patient between healthcare settings, such as from a hospital to home health.
Definition
A Care Transition is the movement of a patient between healthcare settings, such as from a hospital to home health, skilled nursing facility, or primary care.
Why it matters
Effective care transitions reduce medication errors, communication failures, and hospital readmissions.
Home Health Documentation Playbook
The complete guide to OASIS-E, Medicare compliance, PDGM, and AI-assisted documentation. Learn how top agencies reduce documentation time without sacrificing compliance.
Listen While You Read
Conversations on lupa & pdgm
Episodes from Inside Home Health that put Care Transition in operational context.
Ep 23Ep 23 · Aug 17, 2026
The Hidden Spreadsheet Error That's Causing the Nursing Shortage | Robert Wingo
Robert Wingo, BSN, RN, NI-BCWatch
Ep 20Ep 20 · Jul 13, 2026
The Real Cost of Ignoring Nurse Burnout | Jennifer Johnson
Jennifer JohnsonWatch
Ep 19Ep 19 · Jul 6, 2026
AI Won't Replace Nurses, But Nurses Using AI Will | Timi Abiola
Timi AbiolaWatch

