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Transitional Care/After Care

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  • Topic: Transitional care/after care
  • Program: Human Capital
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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.

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, ...

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.

Nurse Identified Hospital to Home Medication Discrepancies

May 1, 2010 | Journal Article

In this study, nurse interventionists identified and documented medication discrepancies from two Inland Northwest hospitals. The researchers identified more system-level discrepancies than patient-level ones.

Physician Views on Barriers to Primary Care for Young Adults With Childhood-Onset Chronic Disease

April 1, 2010 | Journal Article

General pediatricians and internists report multiple barriers to providing primary care to adults with childhood-onset chronic disease. Most believe it would be difficult for these patients to find an adult-focused provider to care for their needs.

New Study Identifies Barriers that Prevent Kidney Transplant Patients from Getting Critical Follow-Up Care

December 12, 2010 | Story

RWJF Physician Faculty Scholar explores ways to help kidney transplant patients stay healthy.

Colorado Project to Curb Shortage of Home Health Care Nurses Gets Major Boost from RWJF-Supported Program

September 22, 2010 | Story

Program designed to increase number and competencies of home health nurses in Colorado is one of nine projects nationwide to receive funding from Partners Investing in Nursing's Future.

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