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The Care Transitions Program Structure
The Care Transitions Program® is designed to assist patients in developing self-management skills for transitioning from hospital to home, facilitated by a transitions coach. Initially, a meeting occurs with the coach, patient, and family to outline self-care goals before discharge, followed by ongoing support through follow-up visits and calls. Sandra Schiff, a professional coach and member of the program, emphasizes the importance of caregiver involvement during this transition period.
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The Care Transitions Program Structure
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- 2. Introduction Professional coachSandra Schiff served as a member of the advisory council of The Senior Alliance in Wayne, Michigan, from 2011 to 2013. The president of Health Mate, Inc., Sandra Schiff continues to provide care transition coaching as a member of the Care Transitions Program®. Developed by Dr. Eric Coleman, the Care Transitions Program® helps patients acquire self- management skills to transition from a hospital facility to a home environment. This four-week program is facilitated by a transitions coach, who works with the patient and his or her family to identify self-care goals.
- 3. Care Transitions Program The structure of the Care Transitions Program® includes meeting with the transitions coach, preferably before the patient is moved from the hospital. In this meeting, the caregiver and family must be present to discuss their concerns. Once the patient has been transferred home, the transitions coach conducts follow-up visits and phone calls to provide continuous support during the transition process.