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AoA: Care Transitions Toolkit - Overview
The Administration on Aging (AoA) developed a toolkit in 2012 to provide guidance to the aging network on how to begin or establish care transitions programs.…
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AoA: Care Transitions Toolkit - Chapter One: Getting Started
This chapter provides a definition and overview of care transitions, evidence-based models and how the aging network supports care transitions. Since the original care transitions toolkit…
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AoA: Care Transitions Toolkit - Chapter Two: Taking Time to Plan
This chapter provides information on conducting a root cause analysis, assessing your organization; program policies, and procedures, and day-to-day operations; service management;…
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AoA: Care Transitions Toolkit - Chapter Three: Developing Effective Partnerships
This chapter provides information identifying potential CT partners; cross cultural strategies for strengthening partnerships; making the business case;…
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AoA: Care Transitions Toolkit - Chapter Four: Measuring for Success
This chapter provides information comparing evaluation to performance measurement, the importance of planning ahead; types of care transitions measures; process and structural measures;…
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AoA: Care Transitions Toolkit - Chapter Five: Building Organizational Capacity
This chapter provides information on building internal infrastructure; staffing models and workflow; ensuring person-centeredness; costs and billing procedures;…
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AoA: Care Transitions Toolkit - Chapter Six: Implementation and Day-to-Day Operations
This chapter provides information on cross-training partners; identifying appropriate candidates for your program; providing care transitions support to consumers and caregivers;…
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Contact Us
To contact the ACL/Technical Assistance team, please email: CareTransitions@acl.hhs.gov