An elderly patient has been diagnosed with congestive heart failure, diabetes, and peripheral vascular disease

An elderly patient has been diagnosed with congestive heart failure, diabetes, and peripheral vascular disease. The plan of care includes a hospital stay, a skilled nursing level of care, and then home care. Which care model would be best for this patient given the need for a variety of health care settings? Patient-Centered Medical Home Virtual Nursing Care Model Patient-and-Family-Centered Care Transitional Care Model