“STAR (Safe Transitions Across CaRe): A resident and faculty initiative to improve patient care across the healthcare continuum Nancy M. Denizard-Thompson, MD 1, Kirsten B. Feiereisel, MD 1 1 Department of Internal Medicine, Section on General Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina Needs and Objectives 1.To integrate a resident transition of care curriculum and provide associated faculty development 2.To create a tool to standardize the approach to discharge planning and hospital follow-up visits 3.To evaluate utilization and impact of the STAR Transitions of Care tool Setting and Participants This educational innovation was designed and implemented at a large academic medical center targeting Internal Medicine residents and General Internal Medicine faculty. Description Developed for residents and faculty to improve the discharge planning process and reintegration of patients into their community and medical home Resident Seminar 1 Simulates inpatient discharge process through interactive exercises Utilizes STAR tool which highlights key elements of a safe discharge and collaboration with interdisciplinary team Resident Seminar 2 Simulates hospital follow-up visit in clinic through interactive exercises Utilizes STAR tool to identify issues that may prevent readmissions and ensure that patients have safely transitioned to their home Faculty Development Seminar Engage faculty using similar structure on how to teach residents about discharge planning and post-discharge follow-up care Lessons Learned There is need to train residents and faculty in discharge planning and even more significantly in hospital follow-up visits. We demonstrated continued use of the STAR transition tool by residents six month following training and persistent retention of knowledge learned during the seminar. This intervention required minimal training time and provides a simple tool that is easy to use and disseminate. Acknowledgements: NC,ACP Education Innovation Grant ©Creative Communications Wake Forest Baptist Medical Center Permission is granted for use when printed by Creative Communications. All other uses strictly prohibited. ©Creative Communications Wake Forest Baptist Medical Center Permission is granted for use when printed by Creative Communications. All other uses strictly prohibited. Evaluation Approximately 30 residents completed the training seminars and a pre, immediate post and 6 month post survey measuring knowledge and attitudes of transitions of care. (4-5 on Likert scale)Pre SeminarPost Seminar Highly skilled in components of d/c planning68%95% Highly skilled in ability to teach d/c planning50%74% Highly skilled in components of hospital f/u43%96% (4-5 on Likert scale)Pre SeminarPost Seminar Highly skilled in teaching d/c planning38%78% Highly skilled in teaching hospital f/u54%86% Table 3: New domains residents plan to address following training Table 1: Resident perception of skill pre and post seminar Table 2: Faculty Perception of skill pre and post seminar Figure 1: STAR Transitions of Care Tool