Effective Transitions between Care Settings

AARP Public Policy Institute
June 2015

Concerns about care transitions between acute and long-term services and supports (LTSS) settings have been raised since at least the 1990s. More recently, studies have emphasized the growing need to address care transitions from nursing homes to community-based settings, as well as to divert people from nursing homes. This brief looks at six ways states can measure and improve effective transitions between acute care, long-term care, and the community.