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1. Improving geriatric transitional care through inter-professional care teams

   Informing›Resource Center›

   a geriatric transitional care unit. METHODS: An analysis of de-identified administrative records for ... transitional care patients for the 12-month period (2003-2004) cared for by the inter-professional team (n ... cost-effective transitional care in a nursing home setting. Evidence of shorter lengths of stay, shorter patient ...

   Barbara F. Brandt —

   11/10/2014

2. A Relational View of Hospital and Post-acute Staff Communication and Adherence to Evidence-based Transitional Care

   Informing›Resource Center›

   Resource Type:  Report 1565 reads This descriptive research used social network analysis to explore the influence of relationships and communication among hospital nursing (RN, LPN, CNA) and discharge planning staff on adherence to evidence-based practice ...

   Sadie Strassman —

   08/01/2016

3. The Nurse's Role in Transitional Care: Uncovering the Hidden Issues with Older Persons

   Informing›Resource Center›

   discusses a nurse's role in transition care with older adults. Topics that are covered include: (1) how ... a recently discharged patient looks; (2) roles of RNs in transitional care; (3) scope of transitional care ... ; (4) protocols, requirements, biling, and coding in transitional care. Slides are available to ...

   Minnesota Northstar Geriatrics Workforce Enhancement Program (GWEP) —

   01/04/2023

4. Transitions of Care

   Informing›Resource Center›

   define transitions of care and transitional care; 2) recall etiologies for poor transitional care; 3) ... list components of effective transitional care;; 4) identify factors that may impair execution of ... instruction; and 5) enlist community partnerships to improve transitional care. The presenters describe ...

   Minnesota Northstar Geriatrics Workforce Enhancement Program (GWEP) —

   01/15/2021

5. Kara Bierbaum

   

    

   Degree & Credential: RN, CCM

   Title: Transitional Care Nurse, Care Management

   Organization: Indiana University Health, Bloomington, IN

   Contact: not available

6. Research and Reflections on Making Healthcare Safer for Older Adults Coming Home from the Hospital

   Informing›Resource Center›

   how to implement important transitional care programs to improve hospital to home transitions for ... transitional care for older adults; (2) identify barriers to safe transitions; and (3) review ...

   Minnesota Northstar Geriatrics Workforce Enhancement Program (GWEP) —

   05/31/2022

7. MAGIC ACE Resources

   Informing›Resource Center›

   a group of geriatric primary care organizations serving residents in long term care, transitional care ...

   Minnesota Northstar Geriatrics Workforce Enhancement Program (GWEP) —

   12/20/2022

8. Indiana University: The Bloomington Nexus Project

   Advancing›Nexus Innovations Network›

   for improving transitional care for patients who have been discharged from acute care. The primary goal of the ... transitional care providers and faculty to facilitate safe passage for patients. The targeted learners are ...

   National Center for Interprofessional Practice and Education —

   11/09/2015

9. Funding

    accountable care organizations, patient-centered medical homes, transitional care models Facilitate the ...

   Site Admin —

   04/18/2013

10. Standing Orders for Skilled Nursing Facilities 2022

    Informing›Resource Center›

    Transitional Care Units (TCU) or short-stay patients, and Long-Term Care facilities (LTC). These orders are to ...

    Minnesota Northstar Geriatrics Workforce Enhancement Program (GWEP) —

    12/20/2022