title: Managing transitions of care. Effective care transition management is a key to achieving value-based care for your patients.
authors.forename: Elizabeth W
authors.initials: EW
authors.lastname: Woodcock
authors.forename: Deborah Walker
authors.initials: DW
authors.lastname: Keegan
mesh_terms: D059019:Clinical Coding / Q000191:economics / Q000592:standards; D003266:Continuity of Patient Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D039702:Current Procedural Terminology; D057286:Electronic Health Records / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D033183:Interdisciplinary Communication; D010359:Patient Readmission / Q000191:economics / Q000592:standards; D018802:Patient-Centered Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D012017:Referral and Consultation / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D062505:Value-Based Purchasing