Pauly, Mark V.Hirschman, Karen B.Hanlon, Alexandra L.Huang, LimingBowles, Kathryn H.Bradway, ChristineMcCauley, KathleenNaylor, Mary D.2023-05-222023-05-222018-11-192018-11-30https://repository.upenn.edu/handle/20.500.14332/38266Using advanced practice nurses to support high risk patients and their families to transition from hospital to home can reduce postacute care use and costs. A study comparing three evidence-based care management interventions for a population of hospitalized older adults with cognitive impairment found that the Transitional Care Model, which relies on advanced practice nurses to deliver services from hospital to home, was associated with lower postacute care costs when compared to two “hospital only” interventions.http://creativecommons.org/licenses/by-nd/4.0/Postacute carechronically illadvanced practice nursestransitional care modelBrief