A growing group of patients visiting the emergency room are those 65 or older. Approximately one-third to one-half of these visits of the elderly to the emergency room result in hospital admission. After being diagnosed in the emergency room and carrying out the necessary treatment, a large number of these elderly patients are immediately sent home. Within a short to medium length of time, a large number of these patients (12 to 30%) are making return, unplanned visits to the emergency room. An unplanned return visit to the emergency room is often caused by a variety of factors. A complaint that was not completely treated during the hospital stay, discharge plans that were not adapted, the presence of chronic complaints with frequent symptom flare-up, irregular home care follow-up, and the traits of the patient and the hospital can play a role in this. International literature shows that setting up transitional care models between the hospitals and the home care can prevent unplanned readmissions. These transitional care models combine the strengths of an evaluation specifically oriented towards the elderly patients staying in the hospital and good cooperation with those outside the hospital.