宾夕法尼亚大学护理学教授因开创过渡性护理领域而获得美国国家医学院的 Lienhard 奖

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The National Academy of Medicine today announced Mary D. Naylor, PhD, RN, FAAN, the Marian S. Ware Professor in Gerontology and Director of the NewCourtland Center for Transitions and Health, is the recipient of the 2022 Gustav O. Lienhard Award for Advancement of Health Care for improving the lives of millions of older adults living with complex health and social needs through her role as the architect of the Transitional Care Model and pioneer of the field of transitional care. The award will be presented at the National Academy of Medicine’s annual meeting on Oct. 16. Naylor is one of four University of Pennsylvania faculty, and the third from the School of Nursing, to have received this national honor.

“Penn Nursing has a legacy of innovation, discovery, and advocacy to provide health care for the most vulnerable in our health care system,” said Penn Nursing Dean Antonia M. Villarruel. “Dr. Naylor’s work has been a leader in building that legacy. We are incredibly proud of her accomplishments and the impact she has had and continues to have on health care—this is a well-deserved honor that reflects the excellence of her scholarship and the innovation-centered environment we embrace at Penn Nursing to build the future of nursing. We congratulate Dr. Naylor on this prestigious honor.”

For more than 20 years, Naylor has led a multidisciplinary team in generating and disseminating research findings to enhance care and outcomes for chronically ill older adults and their caregivers. The hallmarks of the Transitional Care Model (TCM) that Naylor developed include: engaging at-risk older adults and caregivers during episodes of acute illness; establishing trusting relationships between advanced practice registered nurses (APRNs) and older adults and their caregivers; identifying and then advocating for older adults’ goals to drive their plans of care; providing continuity of care by the same APRN throughout a patients’ illness experiences; and coordinating care with multiple clinicians and staff across settings.

Findings from three consecutive National Institutes of Health funded randomized controlled trials led by Naylor consistently demonstrated the effectiveness of the TCM in enhancing the care experiences of at-risk hospitalized older adults as they transitioned to home, while improving their functional status and quality of life. These outcomes were achieved by different racial groups and accompanied by significant reductions in avoidable re-hospitalizations and substantial health care savings. Currently, Arnold Ventures’ Moving the Needle Initiative is supporting a multisite replication of the TCM in healthcare systems across the U.S. According to the Center for Health Care Strategies, the TCM has been implemented in hundreds of health care organizations and communities in 46 states across the U.S.

To advance the field of transitional care, Naylor has engaged with policymakers, including testifying before U.S. congressional committees, to inform health care policies that support the transitional care needs of at-risk older adults and their family caregivers. She served six years both as a commissioner on the Medicare Payment Advisory Commission and as a board member of the National Quality Forum, where she successfully advocated for better measures of, and increased payment for transitional care services. Prior to the passage of the Affordable Care Act (ACA), she partnered with the AARP policy leadership team to advocate for the inclusion of evidence-based transitional care in multiple care delivery and payment provisions of the ACA, which they ultimately achieved.

As director of Penn Nursing’s NewCourtland Center for Transitions and Health, Naylor leads faculty members and pre-doctoral and postdoctoral fellows on initiatives designed to translate findings generated from a range of evidence-based solutions that will enhance older adults’ health and well-being and advance health equity. For more than a decade, she has led a National Institute of Nursing Research-funded training grant to prepare the next generation of nurse scholars to generate and translate new knowledge focused on improving the care experience, health and quality of life of at-risk older adults and their caregivers. Naylor also has mentored and collaborated with hundreds of clinicians and clinical scholars representing a range of disciplines throughout the U.S. and abroad who are committed to implementing high-quality transitional services.

Moreover, Naylor has a long history of championing the profession of nursing. From 2005-2015, Naylor served as the national program director for the Robert Wood Johnson Foundation-sponsored Interdisciplinary Nursing Quality Research Initiative, which awarded 40 teams throughout the U.S. with highly competitive grants to support interdisciplinary teams of researchers who conducted rigorous studies linking nursing to patient care quality and outcomes.

“Overcoming barriers to initial implementation of the Transitional Care Model, and more recently the added challenges due to the COVID-19 pandemic, Dr. Naylor’s persistence over the past two decades has enabled older adults to receive the quality and continuity of care they deserve,” said National Academy of Medicine President Victor J. Dzau. “Her pioneering research placed a national spotlight on what is possible when health and social care systems are aligned with people’s goals and changing needs, in order to address social determinants at the point of care. Dr. Naylor’s tireless efforts to establish the field of transitional care for older adults and their caregivers, coupled with her championing of nurses and preparing the next generation for care transitions, make her most deserving of this prestigious award.”

In addition to being elected to the NAM in 2005, Naylor is a member of the NAM’s Leadership Consortium: Collaboration for a Learning Health System and co-chairs its Culture, Inclusion, and Equity Action Collaborative, designed to advance health equity across the U.S. health system. Naylor is the 2016 recipient of the AcademyHealth Distinguished Investigator Award, a recognition for her significant and lasting contributions to the field of health services research.

Naylor is the 37th recipient of the Lienhard Award. Given annually, the award recognizes outstanding national achievement in improving personal health care in the United States. Nominees are eligible for consideration without regard to education or profession, and award recipients are selected by a committee of experts convened by the National Academy of Medicine. This year’s selection committee was chaired by Clyde W. Yancy, vice dean for diversity and inclusion; Magerstadt Professor of Medicine; professor of medical social sciences and internal medicine; and chief of the Division of Cardiology, Northwestern University Feinberg School of Medicine

The Lienhard Award is funded by an endowment from the Robert Wood Johnson Foundation. Gustav O. Lienhard was chair of the foundation’s board of trustees from the organization’s establishment in 1971 to his retirement in 1986 — a period in which the foundation moved to the forefront of American philanthropy in health care. Lienhard, who died in 1987, built his career with Johnson & Johnson, beginning as an accountant and retiring 39 years later as its president.

The National Academy of Medicine, established in 1970 as the Institute of Medicine, is an independent organization of eminent professionals from diverse fields including health and medicine; the natural, social, and behavioral sciences; and beyond. It serves alongside the National Academy of Sciences and the National Academy of Engineering as an adviser to the nation and the international community. Through its domestic and global initiatives, the NAM works to address critical issues in health, medicine, and related policy and inspire positive action across sectors. The NAM collaborates closely with its peer academies and other divisions within the National Academies of Sciences, Engineering, and Medicine.

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美国国家医学院今天宣布，Mary D. Naylor 博士、注册护士、FAAN是 Marian S. Ware 老年学教授和NewCourtland 转型与健康中心主任，获得 2022 年Gustav O. Lienhard 进步奖通过她作为过渡性护理模式的建筑师和过渡性护理领域的先驱者的角色，她改善了数百万有着复杂健康和社会需求的老年人的生活。该奖项将于 10 月 16 日在美国国家医学院的年度会议上颁发。Naylor 是宾夕法尼亚大学的四位教师之一，也是护理学院的第三位获得这一国家荣誉的教师。

“Penn Nursing 拥有创新、发现和倡导的传统，为我们医疗保健系统中最脆弱的人提供医疗保健，” Penn Nursing Dean Antonia M. Villarruel说。“博士。Naylor 的工作一直是建立这一遗产的领导者。我们为她的成就以及她对医疗保健已经并将继续产生的影响感到无比自豪 - 这是一项当之无愧的荣誉，反映了她卓越的学术成就和我们在 Penn Nursing 为建设未来而拥抱的以创新为中心的环境的护理。我们祝贺 Naylor 博士获此殊荣。”

20 多年来，Naylor 领导了一个多学科团队，生成和传播研究成果，以加强对慢性病老年人及其护理人员的护理和结果。Naylor 开发的过渡性护理模式 (TCM) 的标志包括：在急性疾病发作期间让处于危险中的老年人和护理人员参与进来；在高级执业注册护士 (APRN) 与老年人及其护理人员之间建立信任关系；确定并倡导老年人的目标，以推动他们的护理计划；在患者的整个疾病经历中由同一 APRN 提供连续护理；并与跨环境的多名临床医生和工作人员协调护理。

由 Naylor 领导的连续三项由美国国立卫生研究院资助的随机对照试验的结果一致表明，TCM在提高高危住院老年人在家中的护理体验方面的有效性，同时改善他们的功能状态和生活质量。这些结果是由不同的种族群体实现的，并伴随着可避免的再次住院和大量医疗保健储蓄的显着减少。目前，Arnold Ventures 的“移动计划”正在支持在美国医疗保健系统中对 TCM 进行多站点复制。据医疗保健战略中心称，TCM 已在美国 46 个州的数百个医疗保健组织和社区实施。我们

为了推进过渡性护理领域，Naylor 与政策制定者接触，包括在美国国会委员会作证，以告知支持高危老年人及其家庭护理人员的过渡性护理需求的医疗保健政策。她担任了六年的医疗保险支付咨询委员会委员和国家质量论坛的董事会成员，在那里她成功地倡导采取更好的措施并增加对过渡性护理服务的支付。在通过平价医疗法案 (ACA) 之前，她与 AARP 政策领导团队合作，倡导将基于证据的过渡性护理纳入 ACA 的多种护理提供和支付条款，他们最终实现了这一目标。

作为 Penn Nursing 的 NewCourtland Center for Transitions and Health 的主任，Naylor 带领教职员工和博士前和博士后研究旨在转化一系列基于证据的解决方案所产生的研究结果，这些解决方案将增强老年人的健康和福祉，以及推进健康公平。十多年来，她领导了一项由国家护理研究所资助的培训赠款，以培养下一代护士学者，以产生和转化专注于改善高危老年人的护理体验、健康和生活质量的新知识成年人及其照顾者。Naylor 还与数百名代表美国各个学科的临床医生和临床学者进行了指导和合作

此外，Naylor 在倡导护理专业方面有着悠久的历史。从 2005 年到 2015 年，Naylor 担任罗伯特伍德约翰逊基金会赞助的跨学科护理质量研究计划的国家项目主任，该计划向美国各地的 40 个团队提供极具竞争力的赠款，以支持跨学科研究人员团队进行严格的研究，将护理与患者护理质量和结果。

“克服最初实施过渡护理模式的障碍，以及最近因 COVID-19 大流行而增加的挑战，Naylor 博士在过去二十年的坚持使老年人能够获得他们应得的护理质量和连续性， ”美国国家医学科学院院长 Victor J. Dzau 说。“她的开创性研究使全国关注当卫生和社会护理系统与人们的目标和不断变化的需求保持一致时，为了在护理点解决社会决定因素时可能发生的事情。Naylor 博士为建立老年人及其护理人员的过渡护理领域所做的不懈努力，加上她对护士的拥护并为下一代护理过渡做好准备，使她最值得获得这一享有盛誉的奖项。”

In addition to being elected to the NAM in 2005, Naylor is a member of the NAM's Leadership Consortium: Collaboration for a Learning Health System and co-chairs its Culture, Inclusion, and Equity Action Collaborative, designed to advance health equity across the US health系统。Naylor 是 2016 年 AcademyHealth 杰出研究员奖的获得者，这是对她对卫生服务研究领域的重大而持久贡献的认可。

Naylor 是第 37 位获得林哈德奖的人。该奖项每年颁发一次，旨在表彰美国在改善个人医疗保健方面取得的杰出国家成就。被提名者有资格获得考虑，无论教育或职业如何，获奖者由美国国家医学科学院召集的专家委员会选出。今年的评选委员会由负责多元化和包容性的副院长 Clyde W. Yancy 担任主席；Magerstadt 医学教授；医学社会科学和内科教授；西北大学范伯格医学院心脏病学系主任

林哈德奖由罗伯特伍德约翰逊基金会捐赠。从 1971 年该组织成立到 1986 年退休，Gustav O. Lienhard 一直担任该基金会的董事会主席——在此期间，该基金会走上了美国医疗保健慈善事业的前沿。林哈德于 1987 年去世，他在强生公司建立了自己的职业生涯，最初是一名会计师，39 年后作为总裁退休。

美国国家医学研究院成立于 1970 年，前身是医学研究所，是一个由来自健康和医学等不同领域的杰出专业人士组成的独立组织；自然科学、社会科学和行为科学；超越。它与美国国家科学院和美国国家工程院一起担任国家和国际社会的顾问。通过其国内和全球倡议，不结盟运动致力于解决卫生、医学和相关政策方面的关键问题，并激发跨部门的积极行动。NAM 与其同行学院以及美国国家科学院、工程院和医学院的其他部门密切合作。

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