Medical home and continuity OSCE — complex care discharge and transition counselling

Station objectives

1. Assess continuity domains and medical-home status. ^{[1] [2]}
2. Build a care-coordination plan with closed loops. ^{[5] [6]}
3. Avoid dumping unpaid coordination onto caregivers. ^[7]
4. Counsel structured transition steps. ^[8]
5. Link non-emergency acute care back to the medical home. ^[9]