Topic Spotlight

Transitional Care 

Through its Transitional Care Evidence to Action Network (TC-E2AN), PCORI-funded research teams facilitate collaborative learning and share lessons learned in conducting patient-centered research on transitional care. The overarching goal of the network is to produce actionable and relevant evidence to indicate which approaches to transitional care are most effective in specific populations, and ultimately to improve delivery of transitional care services.

PCORI Answers Critical Questions

PCORI funds studies to help patients and those who care for them answer a range of questions about transitional care, such as:

What are the experiences of individuals with multiple chronic health conditions who transition from a hospital back to a rural community?

How can the healthcare system help me take care of my health at home without returning to the emergency department?

Which transitional care components are most effective in addressing the needs, preferences, and values of diverse populations in a variety of settings?

Study Results that Support Better-Informed Decisions

Supporting Parents’ Mental Health from NICU to Home

A PCORI-funded study — comparing a program with and without peer support for parents leaving the neonatal intensive care unit (NICU) for home — has led to improved mental health screenings and the formation of a mental health taskforce at Children's National Hospital in Washington, DC. Learn more from the researchers

Journal Spotlights PCORI-Funded Studies on Transitional Care

Developments in Patient-Centered Transitional Care Research

A special August 2021 Medical Care supplement highlights findings, lessons, and challenges in conducting patient-centered research in transitional care. It features articles authored by 11 research teams, along with guest commentaries that provide reflection on past and future directions for the field. View the special supplement

Addressing Transitional Care Challenges

Hear about how PCORI-supported projects are addressing challenges in ways other research has not, and why transitional care is an important study area.

The PCORI Approach to Transitional Care

Why Study Transitional Care

Transitional Care Portfolio Snapshots

Hospital to Home (16) Hospital to Rehab (3) ED to Home (1) Outpatient Specialty Care to Hospital (1)

Projects by Patient Transition Setting

Transitional Care Projects We've Funded: By Condition/Disease: CVD ($22.2M) Non-Disease Specific ($18.9M) Trauma/Injury ($15.9M)

Projects by Condition Type