Care Transitions
Care transitions happen when an individual moves from one setting or location of care to another. These transitions can put older adults at risk for health issues, including malnutrition, but planning can help ensure that older adults and caregivers have the resources they need to transition safely. Meals and other nutrition services can be vital to successful care transitions. Understanding transitions can help you expand your program’s reach. 
Guides
- Understanding Impact of Malnutrition Across Transitions of Cares—Guide to understanding the impact of transitions across care settings and the risk
of malnutrition due to physiological, psychosocial, and economic factors (Meals on Wheels America) - Evaluating Malnutrition Care Coordination for Successful Patient Transitions— Resource on advancing malnutrition care through adoption of electronic clinical quality measures (Academy of Nutrition and Dietetics
- Partnering to Integrate Health and Long-Term Care— Data and
early evidence on how community-based organizations partner with health care organizations (Aging and Disability Business Institute, 2018) - Better Integration of Malnutrition Care into Care Transitions is Necessary— Resource infographic from the Academy of Nutrition and Dietetics, Avalere Health, and Defeat Malnutrition Today on integrating malnutrition care with care transitions
- Care Transitions Intervention Toolkit— Aging and disability resource centers toolkit made to supplement the Care Transition Intervention model (Washington State Department of Social and Health Services, 2013)
- Evidence-Based Care Transitions Program — Information about aging and disability resource center programs (ACL)
Presentations
- Care Transitions Intervention for Older Adults— JASA presentation on integrating health care and social services to address the social determinants of health; reduce hospital readmissions; and ensure stable, home-based functioning (Aging and Disability Business Institute, 2021)
Research
- Improving Integration of Malnutrition Care in Care Transitions— Information about a national dialogue and pilot studies (D'Andrea, Khan, and Arensberg, 2019)