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Related Concept Videos

Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...

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Defining spine care: a framework for scope, standards, and bidirectional care transitions.

Kai-Uwe Lewandrowski1,2,3, Morgan P Lorio4, Friederike Schömig5

  • 1Division Personalized Pain Research and Education, Center for Advanced Spine Care of Southern Arizona, Tucson, AZ, USA.

Journal of Spine Surgery (Hong Kong)
|June 15, 2026
PubMed
Summary

Fragmented spine care leads to inefficiencies. This framework standardizes transitions between surgical and non-surgical care, improving patient navigation and value across the spine-care continuum.

Keywords:
Spine carecare transitionsinterdisciplinary handoffsnonoperative carespine surgery

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Area of Science:

  • Spine Surgery
  • Healthcare Management
  • Clinical Pathways

Background:

  • Modern spine care is fragmented, leading to inconsistent terminology, variable standards, and inefficient patient referrals.
  • These issues result in duplicated services, delayed or premature escalation of care, and prolonged low-value treatment episodes.

Purpose of the Study:

  • To present an implementation-oriented conceptual framework to enhance transition reliability across the spine-care continuum.
  • To address fragmentation and improve coordination in multidisciplinary spine care.

Main Methods:

  • A narrative synthesis of multisociety position statements, guideline standards, value-based literature, and clinical policy analyses.
  • Development of a four-element framework focusing on roles, handoff triggers, standardized language, and boundary-zone interventions.

Main Results:

  • The proposed framework includes defined roles and accountability, explicit bidirectional handoff triggers, standardized procedural language, and coordinated management of complex interventions.
  • Implementation aims to reduce care drift, enhance safety and consistency, and support timely escalation and de-escalation.

Conclusions:

  • Standardizing terminology, clarifying accountability, and operationalizing bidirectional transitions are key to improving multidisciplinary spine care.
  • The framework offers a practical approach to enhance coordination, patient navigation, and overall value in spine care.