, presentation by daas director of care transitions operations carri wong and tcp program manager dane that leavitt. >> my name is carrie wong, i work with the department of aging and adult services and i have with me dana leavitt, she's the program manager at the san francisco transitional care program. i will start off with just a little bit of the background of how we got to where we're at, then dana is going to go into the program details. daas applied for the community-based transition care program, tcp program, currently 1 out of 47 participating nationwide. california has 3 of the participating cities, which includes marin county and san francisco. the tcp, which was created by section 3026 of the affordable care act tests for models for improving transitional care setings from hospitals to other setings and reducing readmissions for high risk medicare beneficiaries. care transition occurs when a patient moves from one health care provider to another setting. nearly 1 out of 5 medicare patients discharged from the hospital, which is approximately 2.6 million seniors, is rea