title: Overcome the hurdles in cross-continuum projects.
mesh_terms: D019090:Case Management / Q000458:organization & administration*; D003266:Continuity of Patient Care / Q000458:organization & administration*; D019091:Critical Pathways / Q000458:organization & administration; D005069:Evaluation Studies as Topic; D007318:Inservice Training; D007857:Leadership; D010344:Patient Advocacy; D017064:Process Assessment, Health Care; D014481:United States