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Evaluation

Transitions of Care/Continuity of Care

(CME115) Connected Transitions: Aligning Teams, Tools, and Tech for Seamless Care

Thursday, March 26, 2026
12:30 PM - 2:00 PM PT
Room: Platinum Ballroom 3-4
CE: 1.5
CMD Management Credit Recording
CME: (1.5) MOC: (1.5) CMD Management: (1.5) AAFP (1.5)
Session Summary: This session explores how transitions of care are among the most vulnerable points in the healthcare continuum. This session will present evidence-based, tech-enabled strategies to strengthen coordination across the care continuum. Participants will learn actionable approaches for enhancing interdisciplinary collaboration, leveraging technology, and aligning care across teams. Emphasis will be placed on using technology platforms to support warm handoffs, digital documentation exchange, telehealth integration, and patient engagement tools. Special considerations—including behavioral health coordination and addressing social determinants of health—will also be covered to promote whole-person, equitable care.

Learning Objectives:

At the completion of this session, learners will be able to:
  • Identify common breakdowns in care transitions and their impact on outcomes, especially for patients with complex needs.
  • Implement evidence-based and technology-supported strategies to enhance communication and reduce errors during transitions.
  • Evaluate models of care and policy levers that promote safer, more equitable transitions, with attention to behavioral health and social risk factors.