Developed by Dr. Mark Toles at the University of North Carolina, Lutheran Services in America’s Connect-Home Collaborative is an evidence-based transitional care process that empowers patients and their caregivers to manage patients’ serious illnesses at home, improve function, and prevent avoidable re-hospitalizations.

Comprised of a set of protocols and tools that guide the important transition time between patients’ post-acute care and their return to home, Connect-Home focuses on implementing transitional care services in Lutheran Services in America’s participating member organizations that provide skilled nursing, expediting service delivery, maximizing impact and expanding the potential for broad change. Our person-centered transition care plans, combined with better empowering staff and utilizing data for quality improvements, are making a world of difference for patients.


For more information about Connect-Home, contact Ashley Washington at