Pillar 02

Transfer of Care

This pillar measures how safely and effectively patients move between departments, teams, facilities, and post-discharge settings to ensure continuity, reduce risks, and support better outcomes.

Pillar Score
82.1
/100
Excellent
VS Last Assessment
4.8 Points
Pillar
Pillar Weight
10% of HPI Score
Overview
Pillar
Handover Quality 87.4 /100
Excellent
Pillar
Pillar
Discharge Readiness 84.2 /100
Excellent
Pillar
Pillar
Referral Coordination 80.8 (per 1,000 patient days)
Good
Pillar
Pillar
Continuity of Care 82.6
Excellent
Pillar
Pillar
Transfer-Related Readmission 9.6%
Good
Pillar
What It Measures
  • Handover quality and completeness
  • Discharge planning and readiness
  • Referral coordination and response times
  • ICU-to-ward and interdepartmental transfer safety
  • Emergency-to-inpatient transitions
  • Post-discharge continuity and follow-up
  • Medication reconciliation during transfer
  • Communication between teams
building
Core Sections
Patient Handover
Patient Handover
Discharge Planning
Discharge Planning
Referral Coordination
Referral Coordination
Transfer Safety
Transfer Safety
Continuity of Care
Continuity of Care
Medication Reconciliation
Medication Reconciliation
Key Indicators
Discharge Summary Completion91%
Handover Completeness88%
Delayed Discharges9.4%
Missed Follow-Up4.1%
Transfer-Related Incidents1.8 per 100 transfers
Referral Response Within Target86%
ICU-to-Ward Handover Compliance89%
Medication Reconciliation at Discharge84%
7-Day Readmission After Discharge6.2%
Risk Signals
  • Delayed discharges and bed blockage
  • Incomplete handovers
  • Missed follow-up appointments
  • Transfer-without medication reconciliation
  • Referral delays
  • Communication gaps between departments
Dashboard Preview
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Improvement Actions
  • Standardize handover protocols
  • Improve discharge planning and patient education
  • Strengthen referral tracking and follow-up
  • Monitor transfer-related risks in real time
  • Ensure medication reconciliation at transitions of care
Pillar
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