Transitioning patients between settings has always been a bit of a roller coaster: improving, then facing challenges, then put on the back burner. The COVID pandemic brought the issue front and center, and many hope this is the start of a smooth ride. The need for clear, real-time communication between settings became a priority, and many organizations developed new systems and processes. However, while we’ve made strides, there are still gaps that need to be filled and opportunities for improvement.