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 Weight
10% of HPI Score
Overview Measures Sections Indicators Dashboard Improvement Actions
Pillar
Handover Quality 87.4 /100
Excellent
Pillar
Discharge Readiness 84.2 /100
Excellent
Pillar
Referral Coordination 80.8 /100
Good
Pillar
Continuity of Care 82.6 /100
Excellent
Pillar
Transfer-Related Readmission 9.6%
Good
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
Internal Transfers
Internal Transfers
Discharge Planning
Discharge Planning
Referral Management
Referral Management
Handover Quality
Handover Quality
Post-Discharge Continuity
Post-Discharge Continuity
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
  • Readmissions linked to poor discharge planning
Dashboard Preview
Handover Completion Trend (12M)
88%
3%
Discharge Delays (12M)
9.4%
1.1%
Referral Response Within Target (12M)
86%
4%
Continuity Index (12M)
  • Excellent 48%
  • Good 32%
  • Average 14%
  • Poor 6%
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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