Which outcome is a primary goal of effective care transitions?

• A. Increase hospital stays.
• B. Reduce readmissions, ensure follow-up, and coordinate services.
• C. Disrupt continuity of care.
• D. Limit communication among care teams.

Answer: (B)

Effective care transitions aim to maintain continuity and coordination as a patient moves between care settings, so the care plan started in one place continues smoothly in the next. The primary goal is to reduce readmissions, ensure timely follow-up, and coordinate services across hospital, primary care, specialty care, and community supports. This involves clear communication, medication reconciliation, arranging and tracking follow-up appointments, and connecting patients with needed resources and supports at home. When transitions are well-managed, patients are less likely to experience adverse events, understand what to do after discharge, and stay engaged with their ongoing care. In contrast, actions like increasing hospital stays, breaking continuity, or limiting communication would undermine safety and quality of care.