Introducing a new Transitional Care educational and training program opportunity!  

Evidence Based Transitional Care
for Chronically Ill Older Adults

 The Transitional Care Model (TCM) provides comprehensive in-hospital planning and home follow-up for chronically ill high-risk older adults hospitalized for common medical and surgical conditions. The heart of the model is the Transitional Care Nurse (TCN), who follows patients from the hospital into their homes and provides services designed to streamline plans of care, interrupt patterns of frequent acute hospital and emergency department use, and prevent health status decline.  While TCM is nurse-led, it is a multidisciplinary model that includes physicians, nurses, social workers, discharge planners, pharmacists and other members of the health care team in the implementation of tested protocols with a unique focus on increasing patients' and caregivers' ability to manage their care. For the millions of Americans who suffer from multiple chronic conditions and complex therapeutic regimens, TCM emphasizes coordination and continuity of care, prevention and avoidance of complications, and close clinical treatment and management - all accomplished with the active engagement of patients and their family and informal caregivers and in collaboration with the patient's physicians.

The purpose of this courseis to educate nurses with current clinical expertise to function effectively as transitional care intervention nurses.  The course occurs over a seven week period and consists of six primary learning units.  Nurses who successfully complete this course will be eligible to assume a position as a TCN, and implement the findings from the TCM program of research into real world clinical applications.  Successful performance in the TCN role is predicated upon the full understanding of the core TCM principles and a solid integration of these principles into their role. 

Schedule of Course Terms

2011                                                               2012                                

May 3 – June 14                                           January 10 – February 21     

September 6 – October 18                           March 6 – April 17              

November 8 – December 20                        May 8 – June 19                 

For More Information, contact us at http://www.transitionalcare.info/