Transitional Care Model Paper

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Recommended: Problem statement for hospital readmissions

Nurse educators are educators to not only teach the importance of nurse competencies, but also the business of nursing competencies. This was demonstrated at the University of Pennsylvania in Philadelphia with the Transitional Care Model program, nurses being involved in facilitating change is in decreasing hospital readmissions. When nurses are assigned to elderly, high risk patients that are likely to relapse, chances for readmissions occur. In this program the nurse follows the patient up to three months after discharge, attending their medical appointments, and collaborating with physicians, caregivers, and family. This program demonstrated a significant reduction in the number of hospital readmission and costs dropped by as much as $5,000

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