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Transitioning from Acute Care to Home Care [2026]


A primary goal of a successful care transition from acute care to home care is to reduce the need for further, mostly preventable, re-admissions of patients with chronic medical conditions. Prior to COVID, such efforts were largely driven by the need to avoid financial penalties for “excessive” 30-day readmissions. During the present COVID crisis, there is the added pressure of reducing readmissions to safely allow the reallocation of clinical and human resources for the more acutely ill. Post-COVID, there will likely be further pressures for successful care transition should the expected caseload surge materialize once the pandemic is controlled.

This presentation will review the key steps necessary for the successful transition to home for patients hospitalized for a chronic respiratory disease exacerbation. Types of post-hospital resources, required to facilitate continuing self-care needs, will be discussed, including third-party reimbursement options and guidelines. The value that the hospital-based RT can contribute to a successful transition of care process will be highlighted.

To access the post-course quiz, you must watch the entire intro video. The course content you will be tested on is available in the Resources section or Materials tab as a PDF.

Approved for 1.00 CRCE Hours.


SEMINAR OBJECTIVES

List the continuing care needs that may be required for patients being discharged following hospitalization for an exacerbation of a chronic respiratory condition.
Discuss the most common obstacles encountered when providing hospital-to-home care transition for chronic respiratory patients, including strategies to minimize their impact.
Describe the important role of the hospital-based RT in planning, and arranging for, the timely setup/delivery of prescribed respiratory equipment, medications, and supplies.


CHAPTERS

Transitioning from Acute Care to Home Care


Speaker Information

Presenters:
Becky K. Anderson RRT
Timothy Buckley MSc, RRT, FAARC
Moderator:
Patrick J. Dunne, MEd, RRT, FAARC