Transitional Care Management (TCM)
Supporting Your Journey from Hospital to Home
What is Transitional Care Management?
Transitional Care Management (TCM) is a comprehensive healthcare service designed to support patients during the critical period following discharge from a hospital, skilled nursing facility, or other inpatient care setting. Our TCM program ensures a smooth transition back to home or community care, reducing the risk of readmission and promoting better health outcomes.
Our dedicated team coordinates care, provides follow-up support, and addresses your medical and non-medical needs to help you recover and thrive.
Benefits of TCM
Our TCM services are tailored to meet your unique needs, offering a range of benefits to support your recovery and well-being:
- Reduced risk of hospital readmissions through proactive care coordination.
- Personalized follow-up care to address your specific health needs.
- Improved medication management to prevent errors and ensure compliance.
- Enhanced communication between healthcare providers, patients, and caregivers.
- Support for non-medical needs, such as transportation or home care services.
- Empowerment through education about your health condition and self-care strategies.
Our TCM Services
Our TCM program includes a comprehensive set of services to ensure a seamless transition and ongoing care:
Post-Discharge Follow-Up
Contact within 48 hours of discharge to assess your health status and needs.
Face-to-Face Visits
In-person or virtual visits within 7-14 days, depending on your medical complexity.
Medication Reconciliation
Review and management of medications to ensure safety and effectiveness.
Care Coordination
Collaboration with your primary care provider, specialists, and other healthcare professionals.
Patient and Caregiver Education
Guidance on managing your condition, recognizing warning signs, and accessing resources.
Community Resource Support
Assistance with accessing home health services, transportation, or social support programs.
Contact Us
Ready to learn more about how our Transitional Care Management services can help you or a loved one? Contact our team today to discuss your needs and start your journey to better health.
Phone:
(725) 205-1249
Email:
pcsc@platinumhospitalists.com
Spring Valley
5495 S Rainbow Blvd, Ste 202, Las Vegas, NV 89118
Centennial
6850 N Durango Dr, Ste 216, Las Vegas, NV 89149
Henderson
2510 Wigwam Pkwy, Ste 202, Henderson, NV 89074
