Interim HealthCare can operate as part of your team of dedicated healthcare professionals to coordinate seamless transitional care, which may include:
Transitional Care Management
When your loved one is ready to transition from the hospital to home or to another post-acute care facility, transitional care services from Interim HealthCare can make it a smooth process with optimal outcomes.
- Onsite access to transitional care management coordination
- Timely assessment of patient and family needs prior to discharge
- Information and education for managing ongoing care, such as home care services, discharge plans, follow-up appointments and treatments
- Support for hospital staff with home care and post-acute care referrals
- Expedited referrals for all types of post-acute care, including:
- Home healthcare
- Hospice care
- Palliative care
- Personal care and support
- Skilled nursing facilities and rehabilitation
- Specialized discharge needs (DME, Infusion, etc.)
- Improved transition to the home care team, from contacting physicians and coordinating prescription pick-ups to confirming start-of-care date and insurance authorizations
- Insights on post-acute care trends and data based on readmissions by diagnosis