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 ...

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 that ...

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 ...

The mean age of patients in this study (n=80) was 62.5 years; the majority was White (86.3%) and female (58.7%). Overall, 77% (n=62) of referred patients attended their scheduled BRIDGE program ...

Transitional care models in stroke rehabilitation encompass structured approaches to support patients as they move from acute hospital settings to home and community environments. These models seek to ...

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 ...

Hospital care transition activity facilitates uptake of Medicare-reimbursed transitional care management, which is associated with lower spending and better patient outcomes. Objectives: To assess ...

In today’s ever-changing healthcare landscape, the journey from hospital to home care is a critical juncture in patient recovery. As healthcare executives and professionals, ensuring smooth and ...

The American Academy of Nursing has designed a Penn School of Nursing transitional care model as an Edge Runner, marking it as an evidence-based model of care with proven outcomes. The Nursing ...

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 ...