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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- Mor V, Intrator O, Feng Z, Grabowski DC. The Revolving Door of Rehospitalization From Skilled Nursing Facilities. Health Affairs. 2010;29(1).