Transitional care management is a service that helps hospital patients complete the transition from pre-hospital care to home or a post-hospital recovery setting. The primary objective of hospital transition care Cary is to help patients return home with as few setbacks in their recovery as possible, especially in terms of re-admittance to the hospital.
TCM is tailored to meet the individual needs of each patient. But it typically includes ensuring that patients have access to needed medical equipment and supplies that they do not need to purchase themselves. These include insulin pumps, respiratory equipment, and mobility devices, arranging for home health aides or other temporary caregivers, and managing patients’ medications through their post-hospital recovery period. TCM providers can also help patients find additional resources in their community, such as physical therapy centers and nursing homes, which are particularly important when recovering from a long-term hospital stay.
What are the benefits of transitional care management?
Reduced readmissions
Reducing readmissions is one of the main goals of a transitional care management program. Transitional care management is designed to reduce the number of readmitted patients after being discharged from a hospital or skilled nursing facility. The goal is to help patients stay at home for as long as possible, but when that is not possible, provide them with the resources they need to return safely to their communities and avoid returning to the hospital or skilled nursing facility.
Improved patient outcomes
Patients who receive transitional care have better health outcomes and fewer complications than those who don’t receive such services. They also report feeling more confident about their ability to manage chronic conditions at home after discharge.
Better quality of life
People who use TCM report feeling more confident in managing their health care and making decisions about it. They also have better control over symptoms like pain or fatigue.
Financial reimbursement
TCM can help you receive reimbursement for Medicare, Medicaid, and private insurance when you need it most. This includes coverage for post-hospital care, skilled nursing facility stays, and home health services.
Access to primary care providers
Transitional care management provides access to primary care providers, who can help patients with chronic conditions manage their conditions and prevent hospitalization. This includes assisting patients in accessing specialty care, such as cardiac or pulmonary rehabilitation programs.
Help manage chronic conditions
TCM can be effective in helping patients manage chronic conditions such as diabetes, heart failure, and chronic obstructive pulmonary disease (COPD). The goal of TCM is to help patients manage their health conditions so they can live independently in their homes or other care settings without needing hospitalization.
Transitional care management is a way to coordinate care for people transitioning from one level of care to another. This can include people leaving the hospital after an extended stay, moving from one outpatient setting to another, or leaving the nursing home for home care. The goals of transitional care management are to improve patient outcomes, reduce costs, and reduce readmissions. Basically, TCM helps patients successfully transition from one level of care to another. It does this by coordinating services and communication between providers. Generations Family Practice professionals can help you understand more about TCM.
