8 August 2009

Hospital to home - Transitional Care Model

Transitional care cuts hospital re-entry rates, costs
National Public Radio: 28 July 2009
Mary Naylor, from the University of Pennsylvania Health System has started the Transitional Care Model (TCM), whereby a nurse with advanced training in geriatrics is assigned to an elderly patient while in the hospital and then follows the patient, with frequent visits and contact, over two or three months to help the person manage their own care. > read and listen to story

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