The data are in. After 20 years of testing and refining the transitional care model first implemented by registered nurse Mary Naylor it has been proved that transitional care interventions improve ...

This study suggests that the Bridging the Discharge Gap Effectively (BRIDGE) program can help decrease the number of hospital readmissions in patients with acute coronary syndrome that cause ...

The transitional care management model has been growing in popularity in long-term care as more residents seek to stay healthy at home with the person-centered support they need and several new ...

PHILADELPHIA (September 25, 2023) – Managing transitions in care for older adults and their family caregivers, no matter the care setting, is especially challenging in a rapidly changing health care ...

Managing transitions in care for older adults and their family caregivers, no matter the care setting, is especially challenging in a rapidly changing health care system. Patient discharges which ...

As agents of innovative health care for the future, our role is clear in paving the path of collaborative efforts within the patient care continuum. Transitional Care Management (TCM) is certainly not ...

WITH MORE THAN 83 million Americans affected, cardiovascular disease (CVD) is the most costly disease in the United States (Go et al., 2014; Hoyert & Xu, 2012). Of the $315.4 billion spent on CVD in ...

The University of Pennsylvania’s School of Nursing will attempt to replicate and study its own transitional care model at four other health systems through a $6 million grant from Arnold Ventures, a ...

Here's a number that tells you a lot about what's wrong with the American health care system: When older patients get discharged from a hospital, 1 out of 5 of them will go right back within a month.

Stevens Institute of Technology (Stevens) and the University of Pennsylvania School of Nursing (Penn Nursing) were recently funded by the Robert Wood Johnson Foundation (RWJF) to use policy flight ...

Transitional care begins prior to hospital discharge and terminates once an outpatient care team has seen the patient and assumed care responsibility. Most transitional care models are designed around ...