title: Collaborative accountability for care transitions: the community care of North Carolina transitions program.
abstract: Community Care of North Carolina initiated efforts to improve care transitions for North Carolina Medicaid recipients in 2008. The transitions program is now statewide, serving more than 4,000 patients every month, virtually every North Carolina hospital, and more than 1,400 primary care practices. This commentary describes program components, early outcomes, and future challenges.
authors.affiliation: North Carolina Community Care Networks, Raleigh, North Carolina, USA. adubard@n3cn.org
authors.forename: C Annette
authors.initials: CA
authors.lastname: DuBard
authors.forename: Jennifer
authors.initials: J
authors.lastname: Cockerham
authors.forename: Carlos
authors.initials: C
authors.lastname: Jackson
mesh_terms: D003266:Continuity of Patient Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D002658:Developmental Disabilities; D006699:Home Care Services / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D006739:Hospital Administration / Q000191:economics / Q000592:standards; D006801:Humans; D008297:Male; D008484:Medicaid / Q000191:economics / Q000592:standards*; D054539:Medication Therapy Management; D008875:Middle Aged; D009657:North Carolina; D010351:Patient Discharge / Q000191:economics / Q000592:standards*; D011320:Primary Health Care / Q000191:economics / Q000592:standards*; D012941:Social Responsibility; D014481:United States