We believe that the solutions to some of the toughest challenges you face in transitional care can come from your peers—people who are on the front line every day, working to improve the experiences of patients as they transition out of the hospital.

The stories you find here are lessons learned from on-the-ground transitional care implementers. They are not intended to be a substitute for careful program planning or an evidence-based model for reducing readmissions. The contributors of these stories offer them as tips and tricks that they’ve found effective in helping them overcome challenges and meet their program goals.

They are ideas for inspiring your own solutions, tailored to your own program and patient needs. We hope you find them useful and share your stories, too!