The American College of Physicians (ACP), Society of Hospital Medicine (SHM), Society of General Internal Medicine (SGIM), American Geriatric Society (AGS), American College of Emergency Physicians (ACEP) and the Society for Academic Emergency Medicine (SAEM) developed consensus standards to address the quality gaps in the transitions between inpatient and outpatient settings. The following summarized principles were established: 1.) Accountability; 2) Communication; 3.) Timely interchange of information; 4.) Involvement of the patient and family member; 5.) Respect the hub of coordination of care; 6.) All patients and their family/ caregivers should have a medical home or coordinating clinician; 7.) At every point of transitions the patient and/ or their family/caregivers need to knowwho is responsible for their care at that point; 9.) National standards; and 10.) Standardized metrics related to these standards in order to lead to quality improvement and accountability. Based on these principles, standards describing necessary components for implementation were developed: coordinating clinicians, care plans/transition record, communication infrastructure, standard communication formats, transition responsibility, timeliness, community standards, and measurement.
|Number of pages||6|
|Journal||Journal of General Internal Medicine|
|State||Published - Aug 2009|
Bibliographical noteFunding Information:
Vincenza Snow, MD, FACP (ACP Staff) Director, Clinical Programs and Quality of Care American College of Physicians has declared conflict of interest of Research grants: CDC, Atlantic Philanthropies, Novo Nordisk, Bristol Myers Squibb, Boehringer Ingelheim, Pfizer, United Healthcare Foundation, Sanofi Pasteur Laurence D. Wellikson, MD, FACP (SHM Staff) Chief Executive Officer Society of Hospital Medicine has declared conflict of interest of Employment: CEO, Society of Hospital Medicine Mark V. Williams, MD, FACP (Co-Chair, SHM Representative) Editor-in-Chief, Journal of Hospital Medicine Past-President, Society of Hospital Medicine has declared conflict of interest of Membership: Society of Hospital Medicine The following members of the Steering (or Planning) Committee and Staff of the Transitions of Care Consensus Conference have declared No Conflict of Interest: David Atkins, MD, MPH, (AHRQ Representative) Associate Director, QUERI, Department of Veteran Affairs, Office of Research and Development, Health Services Research & Development (124) Doriane C. Miller, MD (Co-Chair, SGIM Representative) Associate Division Chief, General Internal Medicine, Stroger Hospital of Cook County Jane Potter, MD (American Geriatric Society Representative) Professor and Chief of Geriatrics, University of Nebraska Medical Center Robert L. Wears, MD, FACEP (Society for Academic Emergency Medicine Representative) Professor, Department of Emergency Medicine, University of Florida Kevin B. Weiss, MD, MPH, MS, FACP (Chair, ACP Representative) CEO, American Board of Medical Specialties Financial Support Statement: The TOCCC was funded under an unrestricted educational grant from Novo Nordisk, as part of the ACP Diabetes Initiative, and from the AHRQ. The funders had no input into the planning, structure, content, participants, or outcomes of the conference.
ASJC Scopus subject areas
- Internal Medicine