Transitional Care

Care transitions occur when patients move between different healthcare settings, such as from a hospital to home care or between different practitioners. Poorly executed transitions can harm patients and lead to unnecessary hospital visits.


PCORI has funded 30 transitional care projects. (As of July 2022)


Sixteen states (along with the District of Columbia) are sites for the transitional care projects.


PCORI has awarded a total of $132.5 million in funding for the transitional care projects.

Transitional Care Evidence to Action Network

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.

About Our Research The Network Lessons Learned Patient Engagement

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.

Journal Spotlights Transitional Care Studies

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.

Addressing Transitional Care Challenges

The PCORI Approach to Transitional Care
Why Study Transitional Care?