Objective The purpose of this study was to clarify the concept of transitional care in patients
with heart failure. Background Transitional care is increasingly being applied in patients with …

The objective of this review was to evaluate existing transition-of-care models and identify
common themes that may minimize exacerbation and rehospitalization, and improve quality …

In patients with heart failure (HF), use of 30-day rehospitalization as a healthcare metric and
increased pressure to provide value-based care compel healthcare providers to improve …

Heart failure (HF) is a life-limiting illness and presents as a gradual functional decline with
intermittent episodes of acute deterioration and some recovery. In addition, HF often occurs …

Background: Individuals with heart failure are frequently rehospitalized owing to a lack of
knowledge concerning how to perform their self-care and when to inform their healthcare …

Background. The growing number of patients with congestive heart failure has increased
both the pressure on hospital resources and the need for community management of the …

Background Transitional care interventions that bridge the care gap from hospital to home
have proven to be effective in lessening the burden of healthcare systems by reducing …

Background: Older adults have complex medical conditions and multiple comorbidities that
make them extremely vulnerable when discharged from hospital to home or community …

Objective: To describe and evaluate Sharp's Transitions program as a model of caring for
the advanced heart failure (HF) population. Methods: Sharp HealthCare developed an …

Objectives The purpose was to pilot the feasibility and impact of a 4-week transition-to-care
program on quality of life for heart failure patients. Background The transition from the acute …