Care Transitions Resources Category

Care Transitions Resources
The ACL Care Transitions team has developed and compiled multiple care transitions resources from various sources available here. These resources are designed to shard best practices and provide guidance for any organization to establish a new care transitions program or enhance an existing program.
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  • Indiana: D-SNP Care Coordination Orientation

    Description: Through an Administration for Community Living (ACL) No Wrong Door (NWD) Business Case grant, Indiana demonstrated that 1) person-centered counselors (PCCs) help individuals who need…

    Staff Training
    Person-Centered Counseling
    Care Transitions
    Public Outreach & Coordination w/ Key Referral Sources
    Partnerships

  • Indiana: Care Transitions Program Pitch Deck for Hospitals

    Description: Through an Administration for Community Living (ACL) No Wrong Door (NWD) Business Case grant, Indiana demonstrated that 1) person-centered counselors (PCCs) help individuals who need…

    Person-Centered Counseling
    Care Transitions
    Public Outreach & Coordination w/ Key Referral Sources
    Partnerships

  • Indiana: Care Transition Process Flow

    Description: Through an ACL NWD Business Case grant, Indiana demonstrated that 1) person-centered counselors help individuals access HCBS and avoid institutional care in a nursing facility;…

    Staff Training
    Person-Centered Counseling
    Care Transitions
    Public Outreach & Coordination w/ Key Referral Sources
    Partnerships
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The ACL Care Transitions team has developed and compiled multiple care transitions resources from various sources available here. These resources are designed to shard best practices and provide guidance for any organization to establish a new care transitions program or enhance an existing program.

Contact Us

To contact the ACL/Technical Assistance team, please email: CareTransitions@acl.hhs.gov

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