Research

Better science to support better outcomes

Better science to support better outcomes

Clinical trials and comparative effectiveness studies have consistently demonstrated the TCM’s health and economic benefits, including reduced re-hospitalization and health care expenditures. Having established a solid knowledge base for the TCM in at-risk hospitalized elderly patients, the Penn team has adapted the model to include other settings and other populations. Working with nurses, physicians, health systems leaders, payers, and policymakers, the team has tested complex interventions and fostered quality and financial incentives to implement the model.

 

Latest Study

The MIRROR-TCM initiative funded by Arnold Ventures, the Missouri Foundation for Health and VA HSR&D is replicating and rigorously examining implementation of the Transitional Care Model (TCM) in three U.S. health care systems:  University of California San Francisco (UCSF) Health, Trinity Health, and the Veterans Health Administration. Together, these systems will recruit 1,000+ Medicare patients to participate in this RCT. Mathematica will conduct an  independent evaluation. 

Learn more about MIRROR-TCM

Improve health and quality outcomes

Learn more about our ongoing efforts

Publications

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    Kathy Bowles smiling

    NCTH Co-Director Dr. Kathryn Bowles Named Most Proflic Author in Nursing Informatics

    Dr. Kathy Bowles has been recognized as the most prolific author among global scholars in Health Informatics, highlighting her exceptional contributions to the field.

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    Katherine Britt smiling

    NCTH Postdoctoral Fellow Named Butler-Williams Scholar 2024

    Dr. Kat Britt, a T32 Postdoctoral Fellow with the NewCourtland Center for Transitions and Health has been named a Butler-Williams Scholar in the 2024 cohort. Britt, who is finishing her postdoctoral appointment this summer, will join the faculty in the University of Iowa College of Nursing as an Assistant Professor following the end of her postdoctoral term. 

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    Surya Kolluri, Head, TIAA Institute, Colbert Narcisse, Chief Product and Business Development Officer, TIAA, Mary D. Naylor, Marian S. Wa...

    Penn Nursing Professor Mary Naylor Speaks at WSJ Future of Everything Festival

    Center Director and University of Pennsylvania School of Nursing Professor Mary Naylor participated in a panel discussion on the topic of longevity literacy and its connection to achieving longevity fitness this week in NYC a a part of The Wall Street Journal’s Future of Everything Festival, alongside Surya Kolluri, Head of TIAA, and Colbert Narcisse, Chief Product and Business Development Officer at TIAA.

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    Two Penn Nursing Professors Selected for Induction to the International Nurse Researcher Hall of Fame

    Penn Nursing’s Eileen Lake and Salimah Meghani will both be honored by Sigma Theta Tau International for their contributions to the nursing profession during the organization’s 35th International Nursing Research Congress in Singapore, in July, 2024.

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    Close up of old man holding hands of his son while sitting on the couch. Shot at home

    As People Live Longer, Family Caregivers Face Financial Challenges

    Many people overlook the short- and long-term costs of financial caregiving, a growing problem that financial advisors and employers can help address, according to a new report by the TIAA Institute and the University of Pennsylvania School of Nursing (Penn Nursing).

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