Resources
AMA-Accelerating Change Transformation Team is hosting a webinar learning series in partnership with Primary Care Alberta (PCA) on transitions in care. These free webinars are open to anyone interested in improving patient transitions from home to hospital to home. Participants are learning about tools and resources that can help physicians and teams ensure transitions are safe, efficient, and collaborative for a seamless patient experience.
H2H2H: Transitions in Care Talk Series
1. Transitions in Care Talk: Home to Hospital to Home Transitions Guideline
Explore evidence-informed practices and actionable strategies to support patients transitioning from home to hospital and back home.
The webinar aired November 21, 2024.
2. Transitions in Care Talk: Patient Access to Information
Learn about provincial progress in supporting patients to have greater access to their health information, and explore how that information helps Albertans become partners in their care.
The hour-long session discusses how as active partners healthcare providers and teams across the system can continue to support patients. Learn from patients who share their experiences using some of the digital tools available and how this has improved their care.
The webinar aired January 14, 2025.
3. Transitions in Care Talk: Information continuity & patient portals
Family physician Dr. Adina McBain walks through a patient case where improvements in information continuity, such as using a discharge summary template and open patient portal, led to an improved patient and provider experience.
There is discussion on changes that improve information sharing from Connect Care to primary care and the impact this has on providers. The webinar aired March 25, 2025.
4. Transitions in Care Talk: Improving the quality of discharge Summaries
This session shares insights from a rural primary care physician and an acute care physician on sending and receiving Connect Care discharge summaries. You’ll also learn about an exciting new quality improvement opportunity aimed at enhancing the quality of discharge summaries. The webinar aired on June 25, 2025.
5. Transitions in Care Talk: Supporting safe follow-up care for unattached patients
This session shares unique local approaches from across the province that support timely follow-up care for unattached patients after hospital discharge. Hear successes and challenges from the Sherwood Park Primary Care Network Hospital Transition Clinic; the Lethbridge Unattached Clinic; and the Zone Business Unit, Calgary and Area Primary Care Networks. This webinar aired on September 23, 2025.
6. Transitions in Care Talk: The complexity of supporting transitions in care
In this session, you will learn about the complexity of transition planning and supporting safe follow-up care for individuals experiencing homelessness. Learn how providers and programs are addressing significant challenges during transitions out of hospitals and recognize how a multidisciplinary multi-sectoral task group is working to improve clinical standards and workflows for individuals experiencing homelessness in Alberta. This webinar aired on November 26, 2025.
7. Transitions in Care Talk: system navigation in indigenous communities
This session highlights lived experience and practical examples that promote safe and supportive care. The session focuses on improving system navigation and transitions in care for Indigenous communities. Understand how navigation supports can foster safe transitions and recognize potential challenges and barriers Indigenous patients and communities may face during care transitions and how they may be addressed. This webinar aired on January 27, 2026.
8. Transitions in Care Talk: Supporting medically complex patients - Whose patient is it anyway?
This webinar for both primary and acute care providers, shares approaches that support patients with complex care needs through transitions in care via integrated care programs. The session provides lessons learned about implementing transitions in care programs for medically and socially complex patients and improves understanding in how transitions in care influence patient and system outcomes. This webinar aired on March 17, 2026.
Visit Webinars and Events for more information and to register for upcoming webinars in the series.
Other H2H2H videos
AMA-ACTT has provided support to improve transitions of the care through the Home to Hospital to Home (H2H2H) Transitions initiative. To learn more, below are other resources that provide an introduction to the importance of effective transitions.
For learners just starting on their transitions journey; this suite of videos will provide you with introductory information on the importance of effective transitions and the Home to Hospital to Home Transitions Guideline.
Building Blocks to Successful Transitions of Care
1 hr 8 secs.
Orientation to the Home to Hospital to Home (H2H2H) Transitions Guideline
36 mins. 55 secs.
For learners ready for more advanced concepts related to transitions of care; this suite of videos will provide information on what measurement data can help inform your transitions of care improvement efforts and technological enablers to support informational continuity.
Orientation to the Home to Hospital to Home (H2H2H) Transitions Measures
31 mins. 28 secs.
How CII/CPAR Enables the COVID Pathway
2 mins. 32 secs.