What is the Bridge-to-Home Spread Collaborative?
Transitions from hospital back into the community can be challenging and pose potential risk for patients at a time of significant stress. Without the right information, patients can feel confused and unsure of what to expect when they leave the hospital.
Bridge-to-Home is a 17-month spread collaborative with a goal to improve the quality of care and patient and caregiver experiences of care during transitions from hospital to home.
Participating improvement teams will implement a patient-oriented care transitions bundle that gives patients and caregivers the information and confidence they need for a safe transition from hospital to home. Patients and caregivers will be active partners throughout this quality improvement initiative.
The patient-oriented care transitions bundle includes:
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A patient-oriented discharge summary (known as PODS) which includes clear information on medications, activity and diet restrictions, follow-up appointments, expected symptoms (including worrisome symptoms that need further attention) and contact information for providers if the patient has more questions.
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Patient and caregiver education
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Involvement of caregivers as part of the circle of care
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Post-discharge follow-up
The Bridge-to-Home Spread Collaborative will advance the shared priority of enhancing home and community care by spreading evidence-based innovations that provide patients and families with the knowledge and confidence they need to manage their care at home or in the community.
Participating teams
The Bridge-to-Home Collaborative brings together 16 organizations from across 7 provinces.
Find out where they are from and learn more about their projects.