Welcome to Transitional Care ServicesTransitional Care Services
TransitionalCareServices.com encompasses a broad range of services and environments designed to promote the safe and timely passage of patients between levels of health care and across care settings.
High-quality transitional care services are especially important for older adults with multiple chronic conditions and complex therapeutic regimens, as well as for their family caregivers. These patients typically receive care from many providers and move frequently within health care settings. A growing body of evidence suggests that they are particularly vulnerable to breakdowns in care and thus have the greatest need for transitional care services. Poor “hand-offs” of these older adults and their family caregivers from hospital to home has been linked to adverse events, low satisfaction with care, and high re-hospitalization rates.
Many factors contribute to gaps in care during critical transitions. Poor communication, incomplete transfer of information, inadequate education of older adults and their family caregivers, limited access to essential services, poorly planned transitions and the absence of a single point person to ensure continuity of care all contribute to mis-managed transitions.
With our on-demand Transitional Care Managers we ease the burden of you or your family members by arranging for all the care and resources necessary for a post-hospital discharge. From the planning and coordination, to delivering the patient home safely, to assessing the home safety and environmental conditions, we make sure that they have a safe transition. We will also integrate an innovative and effective system to improve their medication adherence and make sure that any expired and discontinued medications are disposed before they can cause any health issues.
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Hospital to HomeA patient who has been discharged after a long stay at the hospital needs a lot of care and support throughout the recovery process. As transitional care managers, we understand that they need expert assistance during the period when they are most vulnerable, both physically and mentally. That is why Transitional Home Care Services is committed to facilitating a safe and smooth transition from the clinical environment to the comfort of the patient’s home. We see ourselves as the bridge to better care.Read More
Why Choose Us?
Studies have proved that high quality of post-discharge care is critical to the success of a long-drawn treatment plan or surgery. Not only does it ensure faster recovery and reduce the chances of readmission, but it also has a positive impact on the mental and physical well-being of the patient. But sadly, that’s often not the case.
Immediately after the patient’s discharge, his or her safety is compromised because:
- The primary caregiver lacks knowledge and resources
- Inability to administer medication or improper use of medical tools
- Too many untrained people are involved in the transition
- The home is unsuitable and unsafe for someone who requires supportive care on a day to day basis
Our expert team of transitional care managers conducts home safety checks and suggests modifications as per the condition of the patient so that he or she faces zero discomforts after being brought home.
In addition to this, we also strategize the transition after holding discussions with the family and understanding the needs and health concerns of the patient. Because every patient is different, we personalize our transition care services and extensively educate caregivers and families about the approach that needs to be taken for the well-being of the patient. If there is a need for additional support and resources, we connect families with the service providers as well.
Any change that a patient makes immediately after being discharged from the hospital has an impact on his or her overall health. At such a critical juncture, having professionals as guides will make a big positive difference and take a big load off your shoulders. Get in touch with us today.