The 5 articles in this OJIN topic, captures several important steps in the evolution of knowledge and practice of transitional care and care coordination.
Overview and Summary
Articles
- Continuity of Care: The Transitional Care Model
Karen B. Hirschman, PhD, MSW; Elizabeth Shaid, MSN, CRNP; Kathleen McCauley, PhD, RN, FAAN; Mark V. Pauly, PhD; Mary D. Naylor, PhD, RN, FAAN (September 30, 2015) - Successes and Challenges in Patient Care Transition Programming: One Hospital’s Journey
Suzanne DelBoccio, Debra F Smith, Melissa Hicks, Pamela Voight Lowe, Joy E Graves-Rust, Jennifer Volland, Sarah Fryda (September 30, 2015) - Pediatric Care Coordination: Lessons Learned and Future Priorities
Rhonda G. Cady; Wendy S. Looman; Linda L. Lindeke; Bonnie LaPlante; Barbara Lundeen; Amanda Seeley; Mary E. Kautto (September 30, 2015) - Registered Nurse Care Coordination: Creating a Preferred Future for Older Adults with Multimorbidity
Jean Scholz, MS, RN, NEA-BC; Judith Minaudo, RN (September 30, 2015) - Care Transitions in Long-term Care and Acute Care: Health Information Exchange and Readmission Rates
Brian Yeaman, MD; Kelly J. Ko; PhD; Rodolfo Alvarez del Castillo, MD (September 30, 2015)