title: Implementing a transitional care program to reduce hospital readmissions among older adults.
abstract: This research examines the early implementation of an evidence-based intervention, adapted from the Coleman Care Transitions Intervention and community-based models, aimed at reducing preventable hospital readmissions among older adults. To better understand program implementation, we conducted and analyzed in-depth interviews on the basis of the Promoting Action on Research Implementation in Health Services conceptual framework. Contextual factors, evidence support for the intervention, and facilitation techniques should be taken into account when implementing transitional care programs.
authors.affiliation: Palo Alto Medical Foundation Research Institute, Mountain View, California (Dr Hung); and Illinois Department of Public Health, Division of Patient Safety and Quality, Springfield (Ms Leidig).
authors.forename: Dorothy
authors.initials: D
authors.lastname: Hung
authors.forename: Robynn Cheng
authors.initials: RC
authors.lastname: Leidig
mesh_terms: D000368:Aged; D006284:Health Plan Implementation / Q000379:methods*; D006801:Humans; D010359:Patient Readmission; D000069341:Transitional Care / Q000458:organization & administration*