Portal de Periódicos da CAPES

The Development of a Care Transition Model

2014; Elsevier BV; Volume: 12; Issue: 6 Linguagem: Inglês

10.1016/j.mnl.2014.08.005

1541-4620

Joan Cusack-McGuirk, Margaret Deyo-Allers, Mary V. Kelley,

Healthcare Policy and Management

Improving population health, providing accessible, high-quality services, and lowering costs are goals that all of us in healthcare share today. 1 Langelier M Miller M Innovations to Reduce Hospital Readmissions and Avoidable Hospitalizations From Nursing Homes: Implications for the Healthcare Workforce. Center for Health Workforce Studies, Rensselaer, NYMarch 2014http://chws.albany.edu/archive/uploads/2014/04/hospitalreadmissions2014.pdf Google Scholar With the emphasis of healthcare reform on quality, efficiency, and outcomes with the goal to decrease the fragmentation of care, the Care Transition Coalition was developed. This is a patient-centered initiative designed to improve the patient's transition across settings. During an episode of illness, patients may receive care in multiple settings, often resulting in fragmented and poorly executed transitions. With our collaborative focus and enhanced continuity of care across health settings, the Care Transition Coalition addresses the deficiencies that occur during transitions by minimizing unnecessary hospitalizations and overutilization of the emergency department (ED). “With declining reimbursement and rising health care expenses, nursing leadership must look to new models for leading their patient care staff and achieve exceptional outcomes.” 2 Penque S Evolving models for frontline nursing leadership. Voice Nurs Leadersh. 2013; 11: 14-17 Google Scholar As a system of care was being developed, several leadership models were utilized. Improving population health, providing accessible, high-quality services, and lowering costs are goals that all of us in healthcare share today. 1 Langelier M Miller M Innovations to Reduce Hospital Readmissions and Avoidable Hospitalizations From Nursing Homes: Implications for the Healthcare Workforce. Center for Health Workforce Studies, Rensselaer, NYMarch 2014http://chws.albany.edu/archive/uploads/2014/04/hospitalreadmissions2014.pdf Google Scholar With the emphasis of healthcare reform on quality, efficiency, and outcomes with the goal to decrease the fragmentation of care, the Care Transition Coalition was developed. This is a patient-centered initiative designed to improve the patient's transition across settings. During an episode of illness, patients may receive care in multiple settings, often resulting in fragmented and poorly executed transitions. With our collaborative focus and enhanced continuity of care across health settings, the Care Transition Coalition addresses the deficiencies that occur during transitions by minimizing unnecessary hospitalizations and overutilization of the emergency department (ED). “With declining reimbursement and rising health care expenses, nursing leadership must look to new models for leading their patient care staff and achieve exceptional outcomes.” 2 Penque S Evolving models for frontline nursing leadership. Voice Nurs Leadersh. 2013; 11: 14-17 Google Scholar As a system of care was being developed, several leadership models were utilized.