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Closing the clinical handoff gap in post‑acute care

Despite progress in discharge planning, critical clinical and contextual insight can still be lost during post‑acute handoffs — increasing readmissions, cost and patient frustration.

Why the clinical handoff matters

When patients move from acute to post‑acute care, accountability often fragments at the same time clinical and social risk peaks. Downstream providers are often asked to make rapid decisions using incomplete, backward‑looking or poorly contextualized information. The results can be:

  • Unnecessary rehospitalizations
  • Frustrated caregivers
  • Rising total cost of care

Readmissions are often treated as the central problem, but they are typically the visible outcome of failures that occur much earlier in the transition process. Strengthening the clinical handoff is essential to improving outcomes across the continuum.

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