About: http://webisa.webdatacommons.org/50975698

Property	Value
http://www.w3.org/1999/02/22-rdf-syntax-ns#type	http://www.w3.org/ns/prov#Entity
http://www.w3.org/ns/prov#value	The goal is to coordinate a post-hospitalization plan of care that will provide a smooth transition from hospital to home with the implementation of needed services and resources such as home health nursing and physical therapy.
http://www.w3.org/ns/prov#wasQuotedFrom	baltimorecountymd.gov