There are a lot of helpful resources online for organizations interested in learning more about care transitions, social work, and integrating medical and social care.
- Administration on Community Living (ACL): The Administration on Community Living (including the Administration on Aging) offers many resources on best practices for community-integrated care.
- National Transitions of Care Coalition (NTOCC): Multiple tools to help consumers, professionals, policy makers, and the media understand, navigate, and improve transitions of care.
- National Association of Social Workers (NASW): Highlights the importance of social work in transitional care, in particular in addressing the many biopsychosocial challenges related to transitions of care.
- National Coalition on Care Coordination (N3C): Resources for policy makers on best practices for transitional care.
- Consumers Advancing Patient Safety (CAPS) Transitions Toolkit: Toolkit to guide consumers through hospital discharges and to support them in communicating with their health care providers before, during, and after discharge.
- Integrating Care for Populations & Communities – Care Transitions Toolkit: This toolkit is provided through the Quality Improvement Organizations National Coordinating Center’s Integrating Care for Populations & Communities aim. The toolkit contains helpful information for designing and implementing care transitions programs. This website also provides other resources on transitional care, including a webinar series and recent readmission rates by zipcode.
- Community-based Care Transitions Programs (CCTP): Comprehensive list and map of 102 awarded collaborations around nation participating in CCTP, an initiative authorized by the Affordable Care Act (section 3026) to test community-driven efforts to prevent hospital readmissions.