Care Transitions

AHRQ has a long history of funding research to produce evidence and evidence-based tools to improve care transitions (e.g., Safe Transitions Toolkit, Chartbook on Care Coordination, Project RED Toolkit). As the digital healthcare ecosystem expands, more research is needed to ensure care transitions are high-quality, seamless, coordinated, and safe. AHRQ currently funds innovative digital healthcare research to improve the quality of care and health outcomes during care transitions.

Related Funded Projects

Displaying 1 - 10 of 51
Project Name Contract/Grant Number Principal Investigator Start Date End Date
Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients R01 HS028000 Hewner, Sharon April 1, 2021 March 31, 2026
Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities R01 HS027805 Davidson, Giana September 30, 2020 July 31, 2025
Health Information Exchange Utilization and Inter-Hospital Transfer Outcomes R01 HS026732 Usher, Michael G. April 1, 2019 January 31, 2023
Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices and the Impact on Potentially Avoidable Healthcare Utilization R01 HS024556 Vest, Joshua Ryan September 30, 2016 September 29, 2019
Using Location-Based Smartphone Alerts Within a System of Care Coordination R21 HS025000 Liss, David T. September 30, 2016 September 29, 2019
Using Social Knowledge Networking (SKN) Technology To Enable Meaningful Use of EHR Technology R21 HS024335 Rangachari, Pavani September 30, 2016 September 28, 2018
Interactive Patient-Centered Discharge Toolkit To Promote Self-Management During Transitions R21 HS024751 Dalal, Anuj K. September 1, 2016 August 31, 2019
Electronic Medication Adherence Reporting and Feedback During Care Transitions R21 HS024587 Schnipper, Jeffrey Lawrence May 1, 2016 April 30, 2019
Developing an Interactive Patient-Centered mHealth Tool to Enhance Post-Cystectomy Care K08 HS024134 Smith, Angela B. April 1, 2016 March 31, 2019
Information Needs of Homecare Nurses During Admission and Care Planning R01 HS024537 Sockolow, Paulina April 1, 2016 March 31, 2020