Relational processes in heart failure care transitions: A data-driven case report.

Background: Effective patient care transitions require consideration of social and clinical context, yet how these factors and relational processes in care coordination relate remains poorly described. This case report aims to describe provider networks and the clinical care and social context involved during longitudinal care transitions across settings.

Case: We examined the utilization and provider networks of an oldest old woman with heart failure (HF) before and after her first hospitalization for HF.