In which transitional care model does an advanced practice registered nurse provide a 1-to-3 month period of interventions with high-risk adults to prevent hospital readmissions?
a. Care transitions intervention model (Coleman model
b. Transitional care model (Naylor model)
c. Better Outcomes for Older Adults through Safe Transitions (BOOST) model
d. Interactions to Reduce Acute Care Transfers (INTERACT)
Correct answer: b. Mary Naylor’s transitional care model involves a 1-to-3 month period of interventions with high-risk older adults to prevent hospital readmission. An advanced practice registered nurse (APRN) performs a predischarge patient assessment, and then collaborates with the hospital team to develop a transitional care plan.
To learn more, read the continuing nursing education article “Transitional care can reduce hospital readmissions.”