title: How to cover the gap between acute, home care. Guidelines--not pathways--guide care.
mesh_terms: D019090:Case Management / Q000592:standards*; D003266:Continuity of Patient Care; D017408:Guidelines as Topic; D018575:Home Care Services, Hospital-Based / Q000458:organization & administration* / Q000592:standards; D010348:Patient Care Team; D018802:Patient-Centered Care; D013503:Surgery Department, Hospital; D013714:Tennessee