title: CMs coordinate with home care on continuum path.
mesh_terms: D013504:Cardiovascular Surgical Procedures / Q000534:rehabilitation; D019090:Case Management / Q000592:standards*; D003266:Continuity of Patient Care; D003362:Cost-Benefit Analysis; D019091:Critical Pathways; D018574:Home Care Agencies / Q000458:organization & administration*; D006745:Hospital Bed Capacity, 300 to 499; D006801:Humans; D007196:Indiana; D010351:Patient Discharge; D011787:Quality of Health Care