Improving Transitions of Care from Inpatient to Primary Care

Transitions from inpatient care to primary care clinics are critical for patients’ recovery and overall health outcomes. How evidence-based practices are adopted in real-world primary care clinics remains unclear, especially in settings with limited resources and diverse patient populations. This project explores how primary care clinics within UMass Memorial Health are handling transitions of care, including variations in adopted interventions across clinics. The project also aims to identify barriers and facilitators to implementing evidence-based transition of care best practices.