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 ...

The 30-day readmission risk was reduced 25% by a collaborative program model employing discharge planning and telephonic follow-up for high-risk patients with CMS penalty diagnoses. Objectives: To ...

Strengthening transitional care from hospital to home requires more than a discharge summary. It involves coordinated ...

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 ...

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 ...

Using a shared mental model of the task of discharge planning and subsequent follow-up care involving the patient, his caregiver, and all members of his health-care team could have resulted in an ...

Transitional care is a critical aspect of modern healthcare, particularly for older adults who often experience complex comorbidities and care needs following hospital discharge. This ...

Transitional care interventions are considered evidence-based, designed to ensure coordination and continuity of care when patients are transferred to different levels of care, and to prevent hospital ...

A new study reinforces the importance of discharge preparation and transition to home planning. NICU discharge readiness is defined as the "masterful attainment of technical skills and knowledge, ...