Grace Transitions in Care Program

The project used the

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Geriatric Resources for Assessment and Care of Elders, or GRACE, care transition model and enhanced electronic care planning, tracking, communication, and computer-based technologies to

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facilitate program evaluation and measuring quality of care indicators. The program demonstrated improved performance on Assessing

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Elders (ACOVE) quality indicators, higher satisfaction with services provided, and decreased hospital readmissions and long-term institutionalization in patients served by the GRACE transition model. Indiana TIC Project