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Related Experiment Videos

Evolution of transitional care settings: past, present, future

K M Griffin1

  • 1Health Dimensions, Inc., Penedictine Health System, Scottsdale, Arizona, USA.

AACN Clinical Issues
|December 18, 1998
PubMed
Summary
This summary is machine-generated.

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Transitional care settings have changed due to Medicare payments, impacting hospital stays. Future advanced practice nurses may practice in these evolving healthcare settings.

Area of Science:

  • Healthcare Management
  • Health Services Research
  • Nursing Practice

Background:

  • Medicare prospective payment systems have significantly influenced acute hospital reimbursement and patient length of stay since the 1980s.
  • This evolution has led to the development of various transitional care settings beyond traditional acute care hospitals.

Purpose of the Study:

  • To define and describe the evolution of transitional care settings.
  • To analyze the impact of reimbursement issues on these settings.
  • To project future trends and the role of advanced practice nurses within these environments.

Main Methods:

  • Literature review and analysis of healthcare policy changes.
  • Examination of reimbursement models affecting transitional care.

Related Experiment Videos

  • Synthesis of current trends and future projections in transitional care.

    • Main Results:

    • Transitional care settings include hospital-based transitional care units, freestanding nursing facility subacute units, and long-term care hospitals.
    • Reimbursement policies are a critical factor shaping the development and operation of these settings.
    • Advanced practice nurses are expected to play an increasing role in both referring patients and practicing within transitional care settings.

    Conclusions:

    • Transitional care settings are a dynamic component of the healthcare system, shaped by economic and policy factors.
    • Understanding the evolution and reimbursement landscape of these settings is crucial for healthcare providers and policymakers.
    • The future role of advanced practice nurses in transitional care presents opportunities for expanded practice and patient management.