Coordinated-Transitional Care Toolkit


Coordinated-Transitional Care Toolkit


Coordinated-Transitional Care (C-TraC) is a low-resource, telephone-based, protocol-driven program designed to reduce 30-day rehospitalizations and to improve care transitions during the early posthospital period. The goal of this toolkit is to help hospital systems that serve populations with high rates of patient dispersion, cognitive impairment, and vulnerability improve care coordination and postdischarge outcomes such as reduced medication discrepancies.

This toolkit is designed to help clinicians and researchers execute the C-TraC program protocol. Highlights of the C-TraC program toolkit include the following:

  1. An overview of barriers to providing high-quality transitional care
  2. Core components of the C-TraC program protocol
  3. A step-by-step guide to executing the C-TraC program protocol
  4. An overview of common challenges to managing the C-TraC program protocol
Free registration is required to download the toolkit.


William S Middleton Memorial Veterans Hospital; University of Wisconsin–Madison School of Medicine and Public Health

Funding Sources:

John A Hartford Foundation; National Institute on Aging; Atlantic Philanthropies Foundation; The American Federation for Aging Research; Starr Foundation


Release Date: 2012
Original Summary: April 2013
Last Updated: 07/31/13

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