The Primary Goal of Transitional Care Management Procedures

Transitional care management assists you in receiving the medical attention and treatment you require after leaving a hospital, mental inpatient facility, or nursing home. The major goal of hospital transition care Cary is to guarantee smooth transitions from one care environment to the next, promoting the greatest health outcomes for patients. These measures can also assist in preventing hospital readmissions by closing gaps in care and ensuring you receive the support you require after discharge.

An overview of transitional care management

The basis of transitional care management is a collection of processes designed to shift people more easily, effectively, and safely from one healthcare environment to another based on their unique needs. Members may transition from the hospital to a skilled nursing facility, rehabilitation center, or home. These shifts are crucial for the patient. A badly managed transition might negatively influence your health and perhaps send you back to the hospital.

In some cases, once you have been discharged from the hospital, you may not get enough aftercare treatment, resulting in relapse or needing to be readmitted. Without someone promptly taking over the patient’s care, essential visits may go unscheduled, resulting in gaps in treatment, bad health outcomes, possible readmission, and decreased quality and satisfaction.

The importance of transitional care management services

Transitional care management systems are implemented in primary care centers, inpatient clinics, emergency departments, long-term care institutions, and nursing homes to enhance treatment quality and minimize costs. These transitional care programs assist post-hospital discharge patients and their family caregivers in experiencing improved continuity of care and safer transfer between care settings. Improving Care Management is a fundamental component of healthcare reform. TCM ensures patients receive the treatment they require when discharge planning begins in a hospital or other healthcare institution; it lasts at least 30 days to let the patient transition to a new care environment and avoid unwanted consequences.

How does transitional care management function?

Transitional Care Management (TCM) is a 30-day program that begins with an in-hospital visit with your TCM provider. You can register for the program on that visit if you choose. The TCM practitioner will call you within two days of discharge to check your status and schedule an in-home or telemedicine appointment between 7 and 14 days. Also, the TCM provider will do the following during this visit:

  • Analyze how you have been feeling since discharge.
  • Conduct a physical examination (done only during in-home exams).
  • Review your medications and care regimen.
  • Coordinate any remaining examinations and therapies.
  • Provide education.
  • Connect you to needed community resources.
  • Evaluate your home safety.
  • Set up follow-up phone calls.
  • Review your medications and care regimen.
  • Coordinate any remaining examinations and therapies.

Transitional care management (TCM) is an essential element of chronic illness monitoring and management. It ensures that your requirements are satisfied during the transition from inpatient to community care, maintains your overall health, and lowers the chance of recurrence and readmission. Also, it is up to your particular requirements and input from the physician and care team whether that road back to health involves a stay in a long-term care hospital. Call Generations Family Practice to schedule your appointment today to determine if you are the ideal candidate for transitional care management procedures.