10 Responsibilities, Principles of Ambulatory Practices in Care Transitions

Ambulatory health practices should help patients move safely from inpatient settings to home, according to an American Medical Association report.

The report, "There and Home Again, Safely: Responsibilities of Ambulatory Practices in High Quality Care Transitions," outlines five responsibilities and five principles of ambulatory practices in care transitions. This "5 x 5 model" was developed by the AMA Expert Panel on Care Transitions, which was convened by the AMA Center for Patient Safety. The panel also made a set of recommendations for each of the five responsibilities.



Here are the five responsibilities:
1. Assessment
2. Goal-setting
3. Supporting self-management
4. Medication management
5. Care coordination

Here are the five principles:
1. Person-centered
2. Collaborative
3. Structured
4. Iterative
5. Flexible

More Articles on Care Transitions:

CMS Adds Sites to Community-Based Care Transitions Program
Robert Wood Johnson Foundation Names 5 Winners of Transitional Care Project

A Community-Based Approach to Improving Care Transitions: 4 Strategies

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