TY - GEN AU - Naylor,Mary D AU - Sochalski,Julie A TI - Scaling up: bringing the transitional care model into the mainstream SN - 1558-6847 PY - 2010///1112 KW - Aged KW - Caregivers KW - education KW - Chronic Disease KW - nursing KW - Continuity of Patient Care KW - organization & administration KW - Critical Care KW - Health Services for the Aged KW - Home Care Services KW - Humans KW - Insurance Coverage KW - Insurance, Health KW - Medicare KW - Patient Care Management KW - Patient Care Team KW - Patient Discharge KW - Patient Education as Topic KW - Patient Participation KW - Patient Transfer KW - Professional-Patient Relations KW - United States N1 - Publication Type: Journal Article ER -