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  1. Landor, Misty MBA, MSN, ANP-C, CNS
  2. Schroeder, Karla DNP, ANP-BC
  3. Thompson, Tina-Ann Kerr MD, FAAFP


This column discusses the establishment of a multidisciplinary model for care transition of COVID-19-positive patients from hospital to community. The pandemic has presented challenging issues for discharge transition. A tiered patient identification and clinical messaging referral system was developed. The use of the COVID-19 transition model provided support to patients and physicians during the 30-day discharge period and can serve as a model for emerging public health issues in the future.