Alberta’s first provincewide Home to Hospital to Home (H2H2H) Transitions Guideline for adult patients will help healthcare providers and teams in acute, primary and community care operate as a singular entity with patients and their loved ones as equal partners
Currently, 30 per cent of patients in Alberta experience a gap in care during their transition from hospital to home. Gaps in care can result in accelerated progression of disease, hospital readmissions and suboptimal health system costs.
Evidence shows that we can help reduce readmissions, length of hospital stays, and emergency department encounters with transitions initiatives that coordinate across different points on a patient’s journey.
The guideline helps ensure that patients move along their healthcare journey in a coordinated way, with important information following them.
The guideline is for healthcare providers and teams working in hospital, primary care and community settings and to partner with patients, families and caregivers.
Information for healthcare providersThe guideline is for adult transitions from hospital only at this time. Other services and demographics may be added to the guideline in the future.
More than 15 patient and family advisors have been involved in different aspects of the H2H2H Transitions Guideline initiative.
One team, co-led by patient and family advisors, explored what patients and families need for safe, patient-centered transitions and created a report called Transitions through Patients Eyes: Recommendations to Support Patients and Families. The report outlines recommendations for Alberta’s health system leaders to use in implementation of the guideline.
Transitions through Patients Eyes: Recommendations to Support Patients & Families
This report reflects key themes from patient stories and gathering feedback from their transitions experiences, as well as identifying/analyzing current transition tools in the province.
