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Transitional Care/After Care

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Upcoming Webinar: Transitional Care Model for Persons with Serious Mental Illness

March 22, 2013 | Human Capital Blog Post

RWJF Interdisciplinary Nursing Quality Research Initiative grantees will present their research translating a transitional care nursing intervention for people with serious mental illness for patients in public managed care on March 27, 2013.

Recent Research About Nursing, January 2013

January 10, 2013 | Story

Phone calls from nurses reduce readmissions.

RWJF Scholar Named a MacArthur 'Genius'

October 2, 2012 | Story

Geriatrician Eric Coleman Credits RWJF Clinical Scholars Program's Focus on Becoming a 'Change Agent'

Affordable Care Act Implementation: How Is it Affecting the Health Care Workforce?

April 7, 2011 | Story

As the first components of the new health care reform law begin to take shape, a new and very different world appears on the horizon for health care workers in many parts of the system.

When Getting There Isn't Half the Fun

September 1, 2003 | Program Result Report

The University of Colorado Health Sciences Center hosted a conference to develop research and policy agendas for improving the quality of care for persons who are transferred from one medical setting to another.

Englewood Hospital & Medical Center

September 1, 2006 | Toolkit

Standardized forms were created by the hospital for patients admitted to the hospital from the emergency department (ED).

How the Affordable Care Act Would Have Helped My Father

July 12, 2012 | Human Capital Blog Post

What he needed was transitional care – he needed a nurse to meet with him during a hospitalization to devise a plan for managing chronic illnesses and then follow him into his home setting. He needed a nurse to identify reasons for his instability, ...

Lessons Learned in Performance Measurement

September 1, 2011 | Report

First report on recent trends in the effectiveness of care coordination for Medicare patients discharged from hospitals shows stagnant national performance and variations in care.

Quality and Cost Analysis of Nurse Staffing, Discharge Preparation, and Postdischarge Utilization

April 21, 2011 | Journal Article

Investments in nursing care hours reduce hospital readmissions by better preparing patients for discharge.

Expecting Success: Excellence in Cardiac Care

National Program

Expecting Success was a national program aimed at improving the quality of cardiac care while reducing racial, ethnic and language disparities.

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