Transitions of Care in Heart Failure

• Transitions of care interventions and programs are designed to create a smooth, safe and efficient move from hospital to the next care setting.
• The complexities and barriers of heart failure management at the patient, hospital and healthcare levels are discussed in this statement and how they relate to transitions of care.
• This statement defines current transitions of care interventions and outcomes and explores the implications and recommendations for research and clinical practice to strengthen patient-centered outcomes.

At A Glance

Topics included in this statement:

• Overview and significance of heart failure on hospitalization and rehospitalization
• Patient characteristics as they relate to rehospitalization
• Components and timeframes of early discharge visits
• Analysis of transitions of care interventions
• How transitions of care programs can impact health outcomes
• Implications of transitions of care on research and clinical practice
• Clinical practice recommendations for transitions of care in heart failure