Transitional Care at Nova Scotia Health ensures patients experience safe, coordinated care as they move between settings—such as from hospital to home or a rehabilitation facility. This critical process focuses on personalized discharge planning, medication reconciliation, and clear communication among healthcare providers, patients, families, and community partners.
By addressing potential gaps during transitions, transitional care helps prevent readmissions and supports recovery, independence, and improved health outcomes. Physicians play a key role by leading care coordination, educating patients, and ensuring appropriate follow-up for ongoing wellness.