• Crit Care Nurs Clin North Am · Dec 2014

    Review

    Transitional care models: preventing readmissions for high-risk patient populations.

    • Mae M Centeno and Kellie L Kahveci.
    • Chronic Care Continuum, Institute of Chronic Disease and Care Redesign, Baylor Health Care System at Dallas, 8080 North Central Expressway, Dallas, TX 75206, USA. Electronic address: Mae.Centeno@baylorhealth.edu.
    • Crit Care Nurs Clin North Am. 2014 Dec 1;26(4):589-97.

    AbstractTransition from hospital to home is a vulnerable period for older adults with multiple chronic conditions. A pilot of the Transitional Care Model at a community hospital reduced readmission rates for patients with heart failure by 48%. This article shares the experience of a large metropolitan health care system in expanding transitional care across facilities to decrease readmission rates.Copyright © 2014 Elsevier Inc. All rights reserved.

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