Dr. Mary D. Naylor describes the Transitional Care Model and how it can serve as a platform for home care clinicians that are building plans of care for frail older adults that are making the transition from hospital to home. Click on the play arrow below to watch Dr. Naylor’s video. To learn more about the Transitional Care Model, visit: www.transitionalcare.info.

Mary D. Naylor, Director
New Courtland Center for Transitions & Health
University of Pennsylvania School of Nursing: