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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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A Transitional Care Model Using Faith Community Nurses.

Deborah Ziebarth, Katora P Campbell

    Journal of Christian Nursing : a Quarterly Publication of Nurses Christian Fellowship
    |April 28, 2016
    PubMed
    Summary
    This summary is machine-generated.

    A Faith Community Nurse Transitional Care Model helps hospitals reduce patient readmissions. This model uses pre- and post-discharge interventions to improve patient transitions and promote holistic health, aiming to prevent unnecessary hospital returns.

    Related Experiment Videos

    Area of Science:

    • Nursing
    • Healthcare Management
    • Public Health

    Background:

    • Hospitals face pressure to reduce 30-day readmissions due to the Medicare Mandatory Readmission Reduction Program.
    • Identifying predictive factors for readmission and effective interventions is crucial for healthcare facilities.

    Observation:

    • A systematic literature review identified key factors predicting patient readmission.
    • Pre- and post-discharge interventions were found to decrease readmission rates.
    • Faith Community Nursing (FCN) offers a unique approach to patient care coordination.

    Findings:

    • A Faith Community Nurse (FCN) Transitional Care Model was developed based on literature review.
    • The model outlines specific FCN care strategies implemented before and after hospital discharge.
    • These interventions aim to facilitate patient transitions, promote holistic well-being, and reduce readmissions.

    Implications:

    • This model provides a practical framework for implementing FCN-led transitional care.
    • It offers a strategy for hospitals to meet Medicare readmission reduction goals.
    • The model supports a patient-centered approach to care, enhancing health outcomes and potentially lowering healthcare costs.