Transitional Care Model
The Transitional Care Model, is an innovative nurse-led hospital discharge and home follow-up program for chronically ill older adults. The program is designed to address a major problem in the American healthcare system: More than one-third of older patients discharged from U.S. hospitals each year are re-hospitalized within 90 days, generating major costs to Medicare.
Reason:
The Transitional Care Model has been shown in two rigorous randomized studies to reduce re-hospitalizations by 30 percent to 50 percent and net healthcare costs by $4,000 per patient, without any adverse effects on patient health or quality of life. These results suggest that effective nationwide implementation of this reform model would generate savings to Medicare of about $10 billion per year — without cutting anyone’s benefits.
The Transitional Care Model has been shown in two rigorous randomized studies to reduce re-hospitalizations by 30 percent to 50 percent and net healthcare costs by $4,000 per patient, without any adverse effects on patient health or quality of life. These results suggest that effective nationwide implementation of this reform model would generate savings to Medicare of about $10 billion per year — without cutting anyone’s benefits.
Organization: University of Pennsylvania School of Nursing
First name: Mary
Last name: Naylor
City:
Country: United States
