Discharge Planning & Care Transitions

Browse Discharge Planning & Care Transitions guides and resources for post-acute care providers and patients.

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12 articles found

Creating a Home Care Plan After Hospital Discharge: A Step-by-Step Guide for Caregivers — home health guide from NDPAP, the National Directory of Post-Acute Providers
Home Care Plan After Hospital Discharge (2026 Guide)
May 16, 2026MM Maria Santos, MSG

The first few weeks after a hospital discharge are the most dangerous period for patients. Nearly one in five Medicare patients is readmitted within 30 days, an...

Post-Acute Care in the Bronx, NY: A Complete Guide to Recovery and Support Services — care transitions guide from NDPAP, the National Directory of Post-Acute Providers
Bronx Post-Acute Care: Home Health, Hospice & SNF Guide
April 29, 2026MM Maria Santos, MSG

The Bronx faces some of the most significant healthcare challenges of any urban area in the United States — high rates of chronic disease, complex insurance sit...

Diabetes Management After Hospital Discharge: Your Guide to Post-Acute Care and Preventing Readmission — care transitions guide from NDPAP, the National Directory of Post-Acute Providers
Diabetes After Hospital Discharge: Post-Acute Care Guide
April 19, 2026DM Dr. Thomas Wright, MD

Diabetes is one of the most common reasons Americans are hospitalized — and one of the most common reasons they end up back in the hospital within 30 days of di...

What to Expect After Knee Replacement Surgery: A Complete Recovery and Post-Acute Care Guide — care transitions guide from NDPAP, the National Directory of Post-Acute Providers
Knee Replacement Recovery: Timeline & Rehab Guide (2026)
April 18, 2026DM Dr. Thomas Wright, MD

Knee replacement surgery — also known as total knee arthroplasty — is one of the most common and successful orthopedic procedures performed in the United States...

Recovering from a Fall: A Complete Post-Acute Care Guide for Older Adults and Their Families — care transitions guide from NDPAP, the National Directory of Post-Acute Providers
Recovering from a Fall: Post-Acute Care Guide (2026)
April 18, 2026DM Dr. Thomas Wright, MD

Falls are the leading cause of injury among adults aged 65 and older in the United States, and the consequences can be life-changing. Every year, approximately...

Cancer Aftercare: Your Guide to Post-Acute Services During and After Treatment — care transitions guide from NDPAP, the National Directory of Post-Acute Providers
Cancer Aftercare: Post-Acute Services Guide (2026)
April 17, 2026DM Dr. Thomas Wright, MD

A cancer diagnosis changes everything — and so does the journey that follows treatment. Whether you're finishing chemotherapy, recovering from surgery, or trans...

COPD Management After Hospitalization: Your Complete Guide to Pulmonary Recovery and Post-Acute Care — care transitions guide from NDPAP, the National Directory of Post-Acute Providers
COPD After Hospitalization: Pulmonary Recovery Guide
April 16, 2026DM Dr. Thomas Wright, MD

If you or a loved one has recently been hospitalized for a COPD exacerbation, the transition home can feel overwhelming. Between managing medications, understan...

What to Expect After Hip Replacement Surgery: A Complete Recovery and Post-Acute Care Guide — care transitions guide from NDPAP, the National Directory of Post-Acute Providers
Hip Replacement Recovery: Timeline & Rehab Guide (2026)
April 15, 2026DM Dr. Thomas Wright, MD

Hip replacement surgery — known medically as total hip arthroplasty — is one of the most common and successful orthopedic procedures performed in the United Sta...

Managing Medications After Hospital Discharge: What Patients and Caregivers Need to Know — pharmacy guide from NDPAP, the National Directory of Post-Acute Providers
Managing Medications After Hospital Discharge
March 24, 2026JL Jennifer Martinez, LCSW

Coming home from the hospital often means coming home with a new or changed medication regimen. For many patients, especially older adults managing multiple con...

What Happens After the Hospital? A Complete Guide to Discharge Planning and Post-Acute Care — care transitions guide from NDPAP, the National Directory of Post-Acute Providers
Hospital Discharge Planning & Post-Acute Care Guide
March 24, 2026JL Jennifer Martinez, LCSW

Leaving the hospital can feel like a relief — but for many patients and families, it's also the start of an overwhelming new chapter. Where will you recover? Wh...

Hospice vs. Palliative Care: What's the Difference?
February 27, 2026

When a loved one is diagnosed with a serious illness, navigating the healthcare system can feel overwhelming. Two terms that are often used interchangeably—but...

What Are the Activities of Daily Living (ADLs)? A Complete Checklist — hospice guide from NDPAP, the National Directory of Post-Acute Providers
What Are the Activities of Daily Living (ADLs)? A Complete Checklist
February 27, 2026MB Michael Torres, RN, BSN

When you begin researching care options for an aging parent or a loved one with a disability, you will quickly encounter a barrage of medical acronyms. Perhaps...