Care Transitions to and from the Hospital for Individuals with Alzheimer’s Disease and Related Dementias (2015)

Event Start Date: October 29, 2015 - 4:00 PM EDT
Event End Date: October 29, 2015 - 5:30 PM EDT

You can view the webinar recording below. Supporting documents such as webinar slides, transcript, and additional resources are available to download by scrolling to the attachments section below.


This webinar is also available as a podcast on SoundCloud and iTunes.

This webinar presents some of the core competencies on how to best prepare and ease the difficulties surrounding care transitions, particularly to and from a hospital environment for adults with dementia. A transition of care is defined as moving from one practitioner or setting to another as condition and care needs change.1 It is usually accompanied by a change in care plan. This transition can take place within settings (e.g. within the home care team), between settings (e.g. between a hospital and home) and across health states (e.g. curative and palliative care). During transitions of care, communication — between the individual with dementia and his or her family, within the home care team, and among all providers involved in caring for the person — is especially important to support medication safety, understanding of the care plan, clarity of roles and responsibilities, and care coordination.

Webinar Presenters:

  • Kathryn Agarwal, MD, Section of Geriatrics, Baylor College of Medicine
  • Eric Coleman, MD, MPH, Professor of Medicine, Head of the Division of Health Care Policy and Research. University of Colorado Anschutz
  • Karen Rose, PhD, RN, FAAN, School of Nursing, University of Virginia
  • Alan Stevens, PhD, Center for Applied Health Research, Baylor Scott & White

Learning Objectives:

  • Describe some of the common care transitions experienced by persons with dementia and the associated risks for this population
  • Identify important strategies to prevent adverse outcomes due to poor transition planning or execution
  • Name key features of several current evidence-based models for care transitions


1 Coleman, E. & Boult, C. (2003) Improving the Quality of Transitional Care for Persons with Complex Care Needs. Retrieved from


Webinar 3 – Care Transitions Presentation

Questions and Answers