Creating capacity across continuum by implementing in-home acute and transitional care models that improve health system throughput and patient flow.

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 ...

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 ...

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 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 ...

Modern hospitalists now drive care coordination, quality metrics, patient safety initiatives, and reduction efforts, as well ...

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 ...

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 ...

To improve population health, accountable care models should adopt stronger population-health focused measures and complete the transition from fee-for-service to capitation. We argue here that a ...