Joint Statement: The Role of the Nurse Leader in Care Coordination and Transition Management Across the Health Care Continuum.

Care coordination and transition management roles are needed to support achievement of the Triple Aim: improving quality of care to individuals, improving the health of communities and simultaneously reducing costs. Comprehensive strategies are needed to assure patients and families experience seamless care provided by interprofessional care teams across health care settings. Strong leadership is needed to strategically drive innovation and inspire transformative change in a complex health care environment. The role of the nurse leader is to advocate the value of nursing in care coordination and transition management.