Research Topics
| M D NaylorSummaryAffiliation: University of Pennsylvania Country: USA Publications
Research Grants
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Detail Information
Publications
Care coordination for cognitively impaired older adults and their caregiversMary D Naylor
Gerontology, University of Pennsylvania School of Nursing, 3615 Chestnut St, Ralston House, Philadelphia, PA 19104, USA
Home Health Care Serv Q 26:57-78. 2007..This article will explore the need for improved transitional care for this vulnerable population and their caregivers...- Lessons learned from testing the quality cost model of Advanced Practice Nursing (APN) transitional careDorothy Brooten
Florida International University, School of Nursing, 3000 NE 151st Street, AC11 Rm 231A, North Miami, FL 33181, USA
J Nurs Scholarsh 34:369-75. 2002.... 
Transitional care for older adults: a cost-effective modelMary D Naylor
University of Pennsylvania, USA
LDI Issue Brief 9:1-4. 2004..This Issue Brief summarizes more than a decade of research on this model of transitional care and its effects on the costs and quality of care for hospitalized elderly patients...- Cognitively impaired older adults: from hospital to homeMary D Naylor
RAND/Hartford Center for Interdisciplinary Geriatric Health Care Research, University of Pennsylvania, Philadelphia, PA, USA
Am J Nurs 105:52-61; quiz 61-2. 2005 - Advancing Alzheimer's disease diagnosis, treatment, and care: recommendations from the Ware Invitational SummitMary D Naylor
Institute on Aging, University of Pennsylvania, Philadelphia, USA
Alzheimers Dement 8:445-52. 2012..The workgroups shared, discussed, and compiled an integrated set of priorities, recommendations, and action plans, which are presented in this article... 
Unintended consequences of steps to cut readmissions and reform payment may threaten care of vulnerable older adultsMary D Naylor
New Courtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA
Health Aff (Millwood) 31:1623-32. 2012....- Advancing high value transitional care: the central role of nursing and its leadershipMary D Naylor
NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA 19104, USA
Nurs Adm Q 36:115-26. 2012..Capitalizing on this opportunity will require the investment, commitment, and support of nursing and its leadership... - Transitional care: a critical dimension of the home healthcare quality agendaMary D Naylor
University of Pennsylvania School of Nursing, USA
J Healthc Qual 28:48-54. 2006..Home healthcare is a component of the healthcare industry uniquely positioned to improve transitional care and outcomes for the growing population of older adults with continuous complex needs... - Transitional careMary Naylor
University of Pennsylvania in Philadelphia, USA
Am J Nurs 108:58-63; quiz 63. 2008 - Translating research into practice: transitional care for older adultsMary D Naylor
Director, NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA 19104, USA
J Eval Clin Pract 15:1164-70. 2009..Over the last decade, in order to close the safety and health care quality chasm, there has been a growing imperative to translate evidence-based research into practice... - Transitional care of older adults hospitalized with heart failure: a randomized, controlled trialMary D Naylor
Gerontological Nursing Science Center, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
J Am Geriatr Soc 52:675-84. 2004..To examine the effectiveness of a transitional care intervention delivered by advanced practice nurses (APNs) to elders hospitalized with heart failure... - The role of nurse practitioners in reinventing primary careMary D Naylor
NewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
Health Aff (Millwood) 29:893-9. 2010.... - Nursing intervention research and quality of care: influencing the future of healthcareMary D Naylor
School of Nursing, University of Pennsylvania, Philadelphia 19104 6096, USA
Nurs Res 52:380-5. 2003..Improvement of healthcare in the United States is a national priority. Nursing intervention science can contribute substantially to addressing this priority... - Scaling up: bringing the transitional care model into the mainstreamMary D Naylor
University of Pennsylvania School of Nursing, USA
Issue Brief (Commonw Fund) 103:1-12. 2010..Findings from these projects inform challenges that must be overcome to facilitate the translation of effective care management innovations into mainstream practice... - The care span: The importance of transitional care in achieving health reformMary D Naylor
School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Health Aff (Millwood) 30:746-54. 2011.... - Patient problems and advanced practice nurse interventions during transitional careM D Naylor
University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania 19104 6096, USA
Public Health Nurs 17:94-102. 2000..The study provides a description of the nature and complexity of patient problems as they transition from hospital to home and increases our understanding of the contribution of APNs to the care of elders... - Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trialM D Naylor
School of Nursing, University of Pennsylvania, Philadelphia 19104, USA
JAMA 281:613-20. 1999.... - Transitions of elders between long-term care and hospitalsMary D Naylor
University of Pennsylvania, Philadelphia, PA, USA
Policy Polit Nurs Pract 10:187-94. 2009.... - Factors identified by experts to support decision making for post acute referralKathryn H Bowles
School of Nursing, University of Pennsylvania, 418 Curie Boulevard, Philadelphia, PA 19101 6096, USA
Nurs Res 58:115-22. 2009..Each year, more than 13 million post acute referral decisions are made for Medicare recipients, yet there are no national, empirically derived decision support tools to assist in making these important decisions... - What works in chronic care management: the case of heart failureJulie Sochalski
School of Nursing, University of Pennsylvania, Philadelphia, USA
Health Aff (Millwood) 28:179-89. 2009..Our study offers policymakers and health plan administrators important guideposts for developing an evidence base on which to build effective policy and programmatic initiatives for chronic care management... - The terrible choice: re-evaluating hospice eligibility criteria for cancerDavid J Casarett
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
J Clin Oncol 27:953-9. 2009..Our goal was to determine whether willingness to make this choice identifies patients with greater need for hospice services... - Post-acute referral decisions made by multidisciplinary experts compared to hospital clinicians and the patients' 12-week outcomesKathryn H Bowles
New Courtland Center for Health and Transitions, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
Med Care 46:158-66. 2008..Anticipating post-acute needs and making referrals for follow-up care are crucial for quality discharge planning. Several studies reveal serious gaps in quality for these common and important processes... - Advanced practice nurse strategies to improve outcomes and reduce cost in elders with heart failureKathleen M McCauley
Department of Cardiovascular Nursing, University of Pennsylvania School of Nursing, Philadelphia, 19104 6096, USA
Dis Manag 9:302-10. 2006..These strategies are compared with nursing interventions used in other RCTs of HF home management. Directions for future research are explored... - Patient characteristics at hospital discharge and a comparison of home care referral decisionsKathryn H Bowles
University of Pennsylvania School of Nursing, Philadelphia 19104, USA
J Am Geriatr Soc 50:336-42. 2002.... - Hospital discharge referral decision making: a multidisciplinary perspectiveKathryn H Bowles
University of Pennsylvania School of Nursing, Philadelphia, PA 19104, USA
Appl Nurs Res 16:134-43. 2003..Three themes describe why patients may not receive needed referrals: patient characteristics, workload and staffing, and educational issues. Suggestions for improved practice and further research are based on these themes... - Transitional care of older adultsMary D Naylor
School of Nursing, University of Pennsylvania, USA
Annu Rev Nurs Res 20:127-47. 2002..A priority for future research should be continued study of strategies to improve transitional care outcomes of older adults and their caregivers... - Physician-nurse collaboration in research in the 21st centuryArlene D Houldin
University of Pennsylvania, Philadelphia, PA, USA
J Clin Oncol 22:774-6. 2004 - Advancing the science in the measurement of health care quality influenced by nursesMary D Naylor
University of Pennsylvania, School of Nursing, Philadelphia, Pennsylvania, USA
Med Care Res Rev 64:144S-69S. 2007..Specific recommendations for future research and measure development are presented... - Opportunities for improving post-hospital home medication management among older adultsJanice B Foust
Department of Nursing, University of New Hampshire, 251 Hewitt Hall, Durham, NH 03824, USA
Home Health Care Serv Q 24:101-22. 2005..Potential solutions and future research possibilities highlight the importance of interdisciplinary teams, involvement of clinical pharmacists, use of transitional care models, and improved use of informational technologies... - Acute coronary care in the elderly, part II: ST-segment-elevation myocardial infarction: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of GeriatricKaren P Alexander
Duke University Medical Center, USA
Circulation 115:2570-89. 2007.... - Acute coronary care in the elderly, part I: Non-ST-segment-elevation acute coronary syndromes: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of GerKaren P Alexander
Duke University Medical Center, USA
Circulation 115:2549-69. 2007..Reasons include limited trial data to guide the care of older adults and uncertainty about benefits and risks, particularly with newer medications or invasive treatments and in the setting of advanced age or complex health status...
Research Grants
- Hospital to Home: Cognitively Impaired Elders/CaregiversMary Naylor; Fiscal Year: 2009..Findings have the potential to inform improved care management of these patients and their caregivers, an Institute of Medicine priority for national action. ..
- Health related quality of life: Elders in long-term careMary Naylor; Fiscal Year: 2009..The findings from this study will enable policy makers and providers, as well as recipients of long term care services, to evaluate and make informed choices related to long-term care. ..
- Health Related Quality of Life: Elders in Long Term CareMary Naylor; Fiscal Year: 2007..The findings from this study will enable policy makers and providers, as well as recipients of long term care services, to evaluate and make informed choices related to long-term care. ..
- Hospital to Home: Cognitively Impaired Elders/CaregiversMary Naylor; Fiscal Year: 2007..Findings have the potential to inform improved care management of these patients and their caregivers, an Institute of Medicine priority for national action. ..
- Health related quality of life: Elders in long-term careMary D Naylor; Fiscal Year: 2010..The findings from this study will enable policy makers and providers, as well as recipients of long term care services, to evaluate and make informed choices related to long-term care. ..