Preventing avoidable hospitalizations

• Published in: Home healthcare nurse Vol. 29; no. 9; p. 540
• Main Authors: Berry, Donna, Costanzo, Diane M, Elliott, Brenda, Miller, Andrew, Miller, Judith L, Quackenbush, Patricia, Su, Ya-Ping
• Format: Journal Article
• Language: English
• Published: United States 01.10.2011
• Subjects: Case Management - organization & administration; Chronic Disease - nursing; Continuity of Patient Care - economics; Continuity of Patient Care - organization & administration; Cost Savings; Female; Home Care Services - organization & administration; Hospitalization - economics; Hospitalization - statistics & numerical data; Humans; Male; Medicare - economics; New Jersey; Patient Readmission - economics; Patient Readmission - statistics & numerical data; Pilot Projects; Primary Prevention - organization & administration; Program Development; Program Evaluation; United States; United States; New Jersey

To reduce avoidable hospital readmissions and improve transitions between healthcare settings, Virtua Home Care implemented a Transitions of Care Program based on the Transitional Care Model developed at the University of Pennsylvania School of Nursing. Home care nurses were educated to be transitio...