TY - BOOK AU - Katz, Barbara TI - Connecting care for patients : : interdisciplinary care transitions and collaboration SN - 9781284129427 AV - 610.696 K15c 2020 PY - 2020/// CY - Burlington, MA PB - Jones & Bartlett Learning KW - Transitional care KW - Organization & administration KW - Patient readmission KW - Professional-Patient Relations KW - Interprofessional relations N1 - Includes index; Connected care - closing the gaps and filling the cracks in health care -- Integrated delivery systems : the connected care ideal -- Care transitions : fractured or flowing? -- Leading for connected care - the senior management role -- Middle managers and connected care -- Care coordination and communication on the front lines - the clinician role -- Experiencing connected care - the patient role -- Pulling together for the patient : teamwork in healthcare -- Digital connections, communication and collaboration -- High risk gaps and cracks I- social determinants of health, health disparities and mental health -- High risk gaps and cracks II- caregivers, dementia and end of life care ER -