Understanding Transitional Care Management

When it is time to leave a hospital, a nursing home, or a rehabilitation center, it is crucial to plan how you will continue getting the care you need at home. This is where transitional care management comes in. Getting a hospital transition care in Cary ensures you get the follow-up care you need to maintain your health. Although you are sent home with special instructions from your care provider, it can still be challenging to know what you are expected to do by yourself. But having someone help you transit from the hospital stay to your home can ensure you do not miss any part of the care you need. Here is more information.

Defining Transitional Care

Sometimes you might have to move between different care settings as you receive treatment. Transitional care keeps you connected to your care at any point of your treatment. It ensures a timely and safe continuity of care as you move to a different care facility. This is mainly beneficial for older adults dealing with multiple chronic complications and need complex and multi-specialty care. Transitional care is essential since the handoffs from a particular care institution are the source of low satisfaction, adverse effects, and high rehospitalization rates.

Importance of Transitional Care

Establishing transitional care programs aimed to raise the quality of care and minimize treatment costs at inpatient centers, primary care centers, nursing homes, long-term care facilities, and emergency departments. Over time, the transitional care programs have continued to help patients and their caregivers experience a better continuity of care and have safe transfers from one care setting to another. It ensures you get the care you need from the time you are discharged from the hospital until you can adapt to your new care setting. It helps prevent adverse effects as you transit to another care setting.

Examples of Transitional Care Models

Hospital-Home Transitional Care

When you are being discharged from the hospital to recover at home, this transitional care model can help you. It involves preparing you for discharge and any post-discharge situation you might face. The care team ensures you have the special instructions and technical assistance you need to adjust to the new care setting. You are taught specific risk interventions and make an emergency plan.

Clinic Home Transitional Care

When being discharged from a clinic, transitional care ensures you get self-management support from communities and the healthcare system. This involves receiving shared decision-making and well-explained clinical information.

Nursing Home Hospital Transitional Care

If you are moving from a nursing home to a hospital, transitional care aims at ensuring that the care teams share the case studies and any care documentation about changes in your condition. It also leverages advanced digital care and care management tools that track your care quality.

Qualifications for Transitional Care

The transitional care is designed to last for about 30 days. You are to receive this care if you have received acute care and are discharged. Your provider should contact you within 48 hours of discharge and have a one-on-one follow-up within one or two weeks, depending on the case’s complexity.

Learn more about transitional care by speaking to the specialists at Generations Family Practice. Learn what it entails and how you can gain from the care. Take a step to ensure your transition to another care setting is smooth.