Official NTOCC Comments

Review the official comments, letters and responses from the National Transitions of Care Coalition (NTOCC).

   Visit the Policy Maker information page

National Transitions of Care Coalition (NTOCC) Launches Three New Resources to Assist Practitioners in Addressing Issues Related to Transitions

Posted on 2/28/2011 by NTOCC ® in Press Releases

Little Rock, AR (PR Web) February 28, 2011— The National Transitions of Care Coalition (NTOCC) is pleased to announce the release of three exciting resources: 1) the Transition of Care Compendium including the Care Transition Bundle – Seven Essential Intervention Categories and Crosswalk, 2) a health information technology white paper titled “Improving Transitions of Care with Health Information Technology”, and 3) a Brief addendum to the “Vision of the National Transitions of Care Coalition. The Transition of Care Compendium, contains a collection of white papers, journal articles, and websites that consists of resources that transitions of care-related professionals or interested consumers might find useful in a practice or medical situation. Tools and resources developed by NTOCC are highlighted for each area. The Compendium may be accessed at

“The Compendium was developed to serve as a centralized online resource for clinical practitioners and consumers,” explained NTOCC Advisory Task Force member and Chair of the NTOCC Measure Workgroup Mary Fermazin, M.D., MPA, Vice President of the Health Policy and Quality Measurement and Chief Medical Officer for HSAG-California, Health Services Advisory Group. “The searchable database contains descriptions and links to hundreds of journal articles, white papers, web sites, forms, and other care-transitions resources. This allows interested users to have a convenient centralized place to easily access materials that will help them improve care transitions. The interface allows users to search for relevant items by key words or by predetermined categories, organized by Care Strategy and Care Setting. The Compendium, which will be periodically updated, also offers a feature that allows users to recommend new resources.”

Also included in the Compendium is the newly developed tool called the “Care Transition Bundle - Seven Essential Intervention Categories and Crosswalk,” created to help meet the demand for essential elements and intervention data. The Care Transition Bundle identifies the following as essential intervention categories to improve transitions of care: Medication management, transition planning, patient and family engagement/education, information transfer, follow-up care, health care provider engagement, and shared accountability across providers and organizations. The Crosswalk brings together evidenced-based models by health care leaders from across the US and addresses personnel, setting and length, type of patient, interventions tools, findings/results/cost, and publication and author information.

NTOCC recently convened a team of experts in the field of electronic medical records (EMR), care coordination, transitions of care, patients and family caregiver advocates to examine current EMR systems and protocols. From those findings, a HIT white paper was created addressing how EMR can promote healthy transitions of care. “Improving Transitions of Care with Health Information Technology” is a comprehensive body of work that includes HIT barriers and gaps supporting EMRs, defines potential areas for improvement, and highlights four distinct issues that stockholders can consider when striving to address the mandate for incorporation of EMR.

H. Edward Davidson, PharmD, MPH, Assistant Professor of Clinical Internal Medicine at Eastern Virginia Medical School and an NTOCC Task Force member commented that “the release of these two new resources should assist a broad level of professionals in their quest to improve transitions of care. The Compendium, a comprehensive collection of peer-reviewed literature, model programs, and other published resources, should aid those seeking answers to specific transitions-of-care questions. The position paper is an up-to-date snapshot of HIT barriers and gaps in supporting transitions of care, and offers strategic direction for areas needing improvement.”

NTOCC also updated its Concept Paper recently to include a brief addendum of findings and considerations of the “Vision of the National Transitions of Care Coalition.” Featured in the addendum is information specific to improving transitional communications; reconciling medication through electronic health records; identifying the expanded role of pharmacists; and establishing points of accountability for case management, care coordination, payment systems incentives, and performance measures.



About National Transitions of Care Coalition (NTOCC)
NTOCC was formed in 2006 to address a serious U.S. health care issue: filling the gaps that occur when patients leave one care setting and move to another care setting. These transitions include patients moving from primary care to specialty physicians; moving or transferring patients from the emergency department to intensive care or surgery; or when patients are discharged from the hospital to home, assisted living arrangements, or skilled nursing facilities. The U.S. healthcare system often fails to meet the needs of patients during these transitions because care is rushed and responsibility is fragmented, with little communication across care settings and multiple providers.

These failures can result in redundant or conflicting information that often creates serious issues for patients, their caregivers, and their families and negatively impact patient safety, quality of care and outcomes. NTOCC, a coalition of 32 organizations with the common goal of improving the quality of transitions of care have developed tools and resources made available to everyone in the health care industry including providers, payers, patients and consumers. For more information, visit

About sanofi-aventis
sanofi-aventis U.S. is an affiliate of sanofi-aventis, a leading global pharmaceutical company that discovers, develops and distributes therapeutic solutions to help improve the lives of patients. Sanofi-aventis is listed in Paris (EURONEXT : SAN) and in New York (NYSE : SNY). For more information, visit or

About Case Management Society of America (CMSA)
Established in 1990, the Case Management Society of America is an international non-profit 501(c)(6) multi-disciplinary professional association dedicated to the support and advancement of the case management profession through educational forums, networking opportunities, legislative advocacy, and establishing standards to advance the profession. It is based in Little Rock, AR, and serves more than 20,000 members/subscribers and 70 affiliate and pending chapters. Since its inception, CMSA has been at the forefront of setting professional standards for the industry, which allows for the highest level of efficiency and integrity, as well as developing national and local leaders who are recognized for their practice and professional excellence. For more information on CMSA, call CMSA at (501) 225-2229 or go to