Care Transitions Intervention
@care-transitions-intervention
Care transitions training and care coordination support from CCS Health
Joined November 2026
About
The Care Transitions Intervention (CTI) is a four-week model that helps patients with complex care needs and their family caregivers move from hospital to home. A Transitions Coach builds self-management skills through a home visit and three phone calls.
CCS Health manages the model, trains certified CTI coaches and builds care coordination software for community health. CTI Community Corner is where organizations using the model can learn from one another.
