Patients who transition from one environment of care to another may experience an intersection of information given but not understood; a crossroads of directions for care provided but not acted upon or the facilitation of a destination for care that does not meet the needs or desires of the patient. When a patient moves from outpatient observational services to the next level of care, the plan for that transition may be impacted by time mandates that might not consistently support the development and full implementation of a transitional care plan. Gaps in affecting appropriate transitional processes often lead to potentially preventable hospitalizations or emergency department visits. It is, therefore, necessary for each member of the transitional team to consider the key elements of a care transition that support the patient’s movement through and across the health care continuum.