title: Team-Based Transitions of Care in Heart Failure.
abstract: With the implementation of the Patient Protection and Affordable Care Act, the requisite for health care systems to build team-based transitional care programs is clear. The clinical course for patients with HF is complicated and progressive, which leads to frequent acute care hospitalization and higher mortality. These patients uniquely benefit from transitions of care programs that encourage a coordinated, multidisciplinary teambased approach to care. Evidence of the benefit of this approach to care is mounting. Research and advocacy efforts need to continue to facilitate the team-based approach to transitions and improve the quality of care.
authors.affiliation: Department of Surgery, Columbia University Medical Center, 21 Audubon Avenue, 2nd Floor, Room 209, New York, NY 14845, USA.
authors.forename: Judy
authors.initials: J
authors.lastname: Tingley
authors.affiliation: Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA.
authors.forename: Mary A
authors.initials: MA
authors.lastname: Dolansky
authors.affiliation: Department of Heart Failure and Cardiac Transplantation, St Vincent Heart Center of Indiana, 8333 Naab Road, Suite #400, Indianapolis, IN 46260, USA. Electronic address: macwalsh@iquest.net.
authors.forename: Mary Norine
authors.initials: MN
authors.lastname: Walsh
mesh_terms: D019317:Evidence-Based Medicine; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration*; D058991:Patient Protection and Affordable Care Act; D011787:Quality of Health Care; D000069341:Transitional Care / Q000458:organization & administration*; D014481:United States
keywords: Heart failure; Team-based care; Transitions of care