- App Portal
The Aging Network and Care Transitions: Preparing your Organization Toolkit
This toolkit was developed for health care provider organizations that are ready to prepare their organization for a role in care transitions programs. Many of the patients served by the Aging Network are considered high-risk for multiple hospital readmissions and the accompanying health complications. The goal of the National Aging Network is to ensure that patients and their caregivers understand post-discharge instructions for medication and self care, recognize symptoms that may indicate complications requiring immediate attention, and that they make and keep their follow-up appointments with their primary care physicians. The toolkit is available as group of several web pages and requires a web browser to view it.