title: Information Sharing: Best Practices That Support Transitions in Care.
abstract: Care coordination that improves patient care and patient outcomes is becoming increasingly necessary as bundled payment programs are developed. Rather than looking at each aspect of the patient's care, the entire care continuum from preoperative preparation through completion of the episode will become the norm. The length of the episode of care may be 30 days or as long as 90 days. The transition to different care providers during that episode requires information sharing. This is best accomplished by a technology platform that allows for real-time information sharing. This article describes one organizations experience with managing the full continuum of care.
authors.affiliation: Jane Cobler, PT, DPT, Director of Value Based Care, ATI Physical Therapy, Bolingbrook, IL. Grace Wang, BA, Editorial Assistant/Writer, ATI Physical Therapy, Bolingbrook, IL. Chris Stout, PhD, Vice President, Department of Research and Data Analytics, ATI Physical Therapy, Bolingbrook, IL and Associate Professor, College of Medicine, University of Illinois at Chicago. Jeff Piejak, MS, Vice President, Strategic Planning & Growth, ATI Physical Therapy, Bolingbrook, IL. Mary F. Rodts, DNP, CNP, ONC, FAAN, Professor, Rush College of Nursing, Chicago, IL.
authors.forename: Jane
authors.initials: J
authors.lastname: Cobler
authors.forename: Grace
authors.initials: G
authors.lastname: Wang
authors.forename: Chris
authors.initials: C
authors.lastname: Stout
authors.forename: Jeff
authors.initials: J
authors.lastname: Piejak
authors.forename: Mary F
authors.initials: MF
authors.lastname: Rodts
mesh_terms: D003266:Continuity of Patient Care; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D019982:Organizational Case Studies / Q000379:methods; D064872:Patient Care Bundles; D010360:Patient Transfer / Q000458:organization & administration*; D017410:Practice Guidelines as Topic