As the population ages, there is an increasing need to improve the transition experiences of older adults, who typically have more complex medical needs and require care from multiple providers. Meaningful engagement is a critical component of care transitions, yet knowledge gaps remain such as a lack of consensus on the most effective ways to support patient and caregiver engagement during care transitions, and how to better integrate engagement across all disciplines and services. This study aims to identify the factors that support or hinder patient and caregiver engagement during care transitions and assess how current engagement practices align with the CHOICE Framework. This study will employ a focused ethnography which is crucial for gaining an in-depth understanding of specific practices, behaviours, and perspectives within a particular group or context. This approach leads to the gathering of rich, qualitative data that can reveal insights into how people experience and navigate meaningful engagement in care transitions to develop more informed and contextually relevant solutions to mitigate barriers. Twenty-seven interviews across patients, caregivers, and healthcare providers in Windsor, Ontario have been transcribed verbatim. These transcripts will be analyzed via directed coding, which will allow the systematic analysis of data by applying predefined themes from the CHOICE framework to ensure a focused and consistent approach to identifying patterns and insights, particularly across three sites. The anticipated outcome is developing an action plan to enhance meaningful engagement of patients and caregivers during care transitions, ultimately improving quality of life and reducing health system burdens.