Reducing Rehospitalization: The Transitional Care Model
This course is designed to broadly educate nurses, social workers and other providers about care transitions theory and the usefulness of the Transitional Care Model (TCM) in meeting the needs of patients and family caregivers making the transition from an acute care hospitalization to their home, a rehabilitation or skilled nursing facility.
This course covers:
- Integrating patients’ health goals into self-motivated, patient-specific care.
- Avoiding emergency room transfer or preventing readmissions through provision of evidence-based care.
- Trends in patient and family caregiver support and education.
- Strategies for helping patients and family caregivers manage when end-of-life care becomes a priority.
- Define transitional care and integrate core components of the Transitional Care Model into their clinical practice.
- Identify patients’ goals for their healthcare and integrate these goals into discussions of what patient-specific care means.
- Identify strategies and resources to support physical and emotional health into a plan to support patient and family caregiver’s competency in care management.
- Discuss strategies for helping patients and family caregivers manage care when end-of-life care becomes a priority.
- NAB: This program has been approved for Continuing Education for 1.0 total participant hours by NAB/NCERS – approval# 20191114-1-A48150-DL – expires 11-14-2019.
- CE Broker Approved for Florida Long Term Care Administrators, Nurses, and Certified Nurse Aides as well as District of Columbia Certified Nurse Aides and Home Health Aides
- Oregon Board of Examiners of Nursing Home Administrators
- Kansas Department of Health and Environment: Approval #: LTS -A1138 (Resident Care)