Transitioning Care Without Transferring Management

This segment centers on a distinction faculty return to throughout: transitioning care is not transferring management. Drawing on established co-management pathways between tertiary centers and community practices, faculty describe how they hand off chronic GVHD patients while retaining oversight of the treatment plan. Practical logistics are shared candidly, including electronic ordering challenges when moving between dosing regimens. The emphasis falls on clear, collaborative communication: defining expectations for the receiving practice, specifying visit frequency, outlining what to monitor and what findings should prompt escalation, and ensuring the whole practice, not just physician to physician, knows who to call. Faculty typically start therapy themselves, confirm the absence of administration reactions, and follow patients for a period before transition. They also reflect on where handoffs fail, most often when communication is rushed or incomplete, and stress not overwhelming colleagues while equipping them with every resource needed to continue care safely.