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 ...

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 ...

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 ...

These results highlight the benefits of the BRIDGE program and support the hypothesis that the BRIDGE program provides a significant savings in avoided hospital readmissions when compared to usual ...

The cost analysis was performed by comparing BRIDGE costs to avoided 30-day hospital readmission costs between patients who participated in the BRIDGE program and patients who did not (and received ...

This article presents a descriptive review of a team-based care transformation model in a large primary care network, including core staffing, process improvement, and extended care teams. Allegheny ...

Transitional care — a set of actions put in place when a patient leaves a hospital or skilled nursing facility — is a vital part of the care journey and one that has increased in importance as more ...

ATS 2024, San Diego – Research presented at the ATS 2024 International Conference demonstrates that veterans who received care via the Post-acute Recovery Center (PARC) model after a serious illness ...