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Transitional Care/After Care

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  • Topic: 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.

Human Capital News Roundup: Care transitions, "chemobrain," medical research funding, and more.

October 4, 2012 | Human Capital Blog Post

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of RWJF leaders, scholars, fellows and grantees.

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'

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, ...

Aligning Forces for Quality: Videos from the National Meeting

December 27, 2011 | Video/Story

The RWJF’s signature effort to improve the quality of care in the U.S.

Smoothing the Transition From Hospital to Community for Older Adults in Jacksonville, Fla.

December 7, 2011 | Story

Mark LeMaire led a community partnership in Jacksonville, Fla., that placed elder care advocates in area hospitals to help discharged patients transition back to the community. The hospitals have since incorporated the program into their operations.

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.

When Students Have an Emergency, the Brookline Resilient Youth Team Steps in

April 18, 2011 | Program Result Report

In 2004, the Brookline Community Mental Health Center and Brookline High School established the Brookline Resilient Youth Team. It provides counseling and academic help to high school students who are re-entering school after a personal emergency.

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