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Transitions of Care

The Transitions of Care Special Interest Group (SIG) is a professional network of pharmacists and pharmacist extenders working to overcome transitional challenges and enhance collaboration among pharmacists in all practice settings as they provide care to patients transitioning to and from various settings. The Transitions of Care SIG has developed the following resources for those working in the transitions of care field.

Transitions of Care Toolkit

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The Transitions of Care Toolkit is an APhA member-only resource for pharmacists, pharmacy residents, student pharmacists, pharmacy technicians, and interprofessional health care team members involved in providing transitions of care (TOC) services. The document provides an evidence-based summary of TOC resources in one central location. Use and disseminate this toolkit to help improve the quality of patient-centered care, to reduce health care costs, and to optimize medication therapy during TOC.

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Transitions of Care Disease State Checklists

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The Transitions of Care Disease State Checklist Tool is an APhA member-only resource created for pharmacists, pharmacist extenders(s), or any healthcare personnel engaging in transitions of care services. Each checklist can help guide and ensure effective transitions for patients at high risk for readmission such as patients diagnosed with acute coronary syndrome, chronic obstructive pulmonary disorder, coronary artery bypass graft surgery, community acquired pneumonia, heart failure or stroke. These checklists may be completed during admission, during the course of hospitalization and/or at discharge. Download and save the checklists to use in practice.

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Transitions of Care Patient Handoff Communication Tool

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The Transitions of Care Patient Handoff Communication Tool is an APhA member-only resource that supports effective patient handoffs between pharmacists across different practice settings during care transitions. Learn when and how to use the tool in the resource below. Then, download and save the patient handoff form to use in your practice. Information can be typed directly in the form or the form can be printed out.

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Download and Edit the Patient Handoff Form

Applying the Pharmacists' Patient Care Process to Care Transitions Services

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Applying the Pharmacists' Patient Care Process to Care Transitions Services is an APhA member-only resource for pharmacists, student pharmacists, and others involved in providing pharmacy-based care transitions services. The document focuses on applying the Joint Commission of Pharmacy Practitioners (JCPP) Pharmacists’ Patient Care Process (PPCP) to the provision of care transitions services. The PPCP approach maximizes a pharmacist’s role within health care delivery models that are collaborative and team-based.

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Transitions of Care Case Examples Resource

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The Transitions of Care Case Examples were designed as a members-only resource for pharmacists and student pharmacists to improve transitions of care (TOC) services across a multitude of health care settings. The document addresses pharmacists’, student pharmacists’, and pharmacy technicians’ roles in transitions of care services within a community hospital, an outpatient health system pharmacy, an ambulatory care clinic, a long-term care facility, and a community pharmacy.

This resource was created by the American Pharmacists Association Transitions of Care (TOC) Special Interest Group (SIG).

The resource is intended to be used as a reference only. The examples in this document should not be interpreted as guidelines or best practices.

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Know Your Transitions of Care Pharmacist

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This resource outlines the roles and responsibilities of a transitions of care pharmacist. Learn more about transitions of care pharmacists or share this resource with others.

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