Changing the health care system isn’t easy – that’s one of the many lessons Mary D. Naylor, PhD, RN, FAAN has learned after decades of work aimed at improving the quality of care. But, she’s not ready to give up any time soon.
Naylor, the Marian S. Ware Professor in Gerontology and Director of the New Courtland Center for Transitions and Health at the University of Pennsylvania School of Nursing, recently spoke at UCSF about the transitional care model (TCM), which she developed with a multidisciplinary team. TCM addresses common breakdowns in care for at-risk older adults who are cognitively intact and chronically ill.
Multiple clinical trials have demonstrated that TCM reduces hospitalizations, improves health outcomes and reduces total health care costs, yet she has faced multiple challenges putting her model to practice.
How can evidence move into practice? How do models like TCM work in the real world? Get the story and learn more about how her model has been adapted, translated and adopted at health care organizations across the country: https://www.youtube.com/watch?v=VcB9fe74hgw