Transitional Care Management in Persons With Dementia After Heart Failure Hospitalization and Skilled Nursing Facility Care

ABSTRACT Background Dementia complicates care transitions, such as discharge from heart failure hospitalization to a skilled nursing facility (SNF) and then to home. Transitional care management (TCM), a bundled service that includes telephone communication within 2 business days and an office visit...

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Bibliographic Details
Published in:	Journal of the American Geriatrics Society (JAGS) Vol. 73; no. 9; pp. 2853 - 2858
Main Authors:	Bayer, Thomas A., Varma, Hiren, Hollmann, Peter A., Gozalo, Pedro L.
Format:	Journal Article
Language:	English
Published:	Hoboken, USA John Wiley & Sons, Inc 01.09.2025 Wiley Subscription Services, Inc
Subjects:	Aged Aged, 80 and over Beneficiaries Cohort analysis Congestive heart failure Dementia Dementia - complications Dementia - therapy Dementia disorders Discharge Female Health care management Heart failure Heart Failure - therapy Hospitalization Hospitalization - statistics & numerical data Humans Male Medicare Medicare - statistics & numerical data Nurses Nursing Patient Discharge - statistics & numerical data Patients post‐acute rehabilitation Retrospective Studies Risk factors Skilled Nursing Facilities - statistics & numerical data successful discharge Telephones Transitional Care - statistics & numerical data United States United States heart failure dementia successful discharge rehabilitation post‐acute
ISSN:	0002-8614, 1532-5415, 1532-5415
Online Access:	Get full text
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