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This project developed and tested an interactive voice response supported care transition coaching intervention, e-Coach, that supports medical patients with complex conditions as they transition from hospital to home-based care.
Develops a patient Master Visit Registry (MVR), addressing the need for better information sharing among clinical organizations and enhancing their ability to give patients continuous high-quality care when they change providers. The MVR will expand upon an existing patient record-keeping system, while improving local handling and exchange of records.