Ontology highlight
ABSTRACT: Background
The Coordinated Transitional Care (CTraC) program is an evidence-based, nurse-driven, low-cost intervention that improves transitional care for geriatric patients following hospital admission. CTraC reduces readmissions and enhances outcomes for older Veterans with chronic conditions or minimal caregiver support.Objectives
This program evaluation was a component of the US Department of Veterans Affairs (VA) Geriatric Learning Health System initiative, which seeks to support community-dwelling older Veterans as they transition from hospital to home. We examined CTraC's operation across diverse hospital settings and identified critical transitional processes and contextual factors supporting patients transitioning from hospital to home. Our goal was to identify les
SUBMITTER: Donnelly CE
PROVIDER: S-EPMC12748012 | biostudies-literature | 2025 Dec
REPOSITORIES: biostudies-literature