The Transitional Care Key
Transitional Care Providers (TCP’s) extend the Medexi technology during hospital discharge process and beyond. Through educating, coordinating, and monitoring, these medically-trained providers help ensure two very fundamental goals are met- that being increased patient satisfaction and decreased hospital readmissions rates.
These goals are especially poignant when transition care providers assist COPD, Alzheimer’s, CHF, Pneumonia, and those patients with comorbidities and polypharmacy who are inherently more susceptible to hospital readmissions.
Within the Medexi 360 System, providers provide the ‘human element’ which binds the technology, health care provider communications, and patient education –together to form an environment in which a seamless transition process becomes possible.
Using Medexi patent-pending applications and evidence-based care coordination models, transitional care providers ensure all health care providers are aligned and in sync, from the primary physician, nurses, social workers, and therapists – by utilizing the Medexi structured ‘real time’ communication processes. And with the implementation of a ‘360 approach’, the transitional provider also ensures that the patient, their caregivers, and loved ones, are well informed, effectively educated, and fully supported during the entire care transition process.
Benefits of Transitional Care Providers:
- Coordinates care components and requirements amongst health care team
- Provides pertinent care guidance to the patient and family caregivers
- Conducts in-hospital visits prior to hospital discharge and in-home visits and ongoing follow-ups and communications with the patient and caregivers
- Educates patients on possible ‘red flags’ which may require additional medical attention
With the transitional care providers model and the Medexi 360 System pre-discharge hospital visits, in-home visits and frequent patient follow ups, all contribute to lower preventable hospital readmissions and greater patient satisfaction.
By educating, guiding and monitoring, transitional providers help ensure critical patient actions are taken. This means hospital discharge plans are reviewed and thoroughly understood, follow up medical appointments are scheduled and held, and prescriptions are filled and taken– in order to increase the likelihood of positive patient outcomes.