Transitional Care Management

Care coordination plan along the acute and post-acute care continuum improves patient outcomes .

Your mentor through recovery

The first 48-hours post-discharge from acute and post-acute settings are critical in determining the trajectory for recovery and preventing subsequent re-hospitalizations. Research shows that developing a clear care coordination plan along the acute and post-acute care continuum improves patient outcomes and reduces healthcare costs. By maintaining constant vigilance and ensuring access to necessary medical monitoring, you can reduce readmissions, streamline your patients’ transitional care, and identify opportunities to improve their health and well-being.

How Alliance Health group can help ?

• We help Families to Navigate through difficult transition process.
• Identify opportunities to improve the patient experience within existing processes, initiatives, trends, and interventions.
• Obtain and share real-time data
• Help case managers quickly find the best facility for medically-complex patients
• Improve patient outcomes
• Improve hospital star ratings by reducing readmissions
• Reduce overall health care costs by transitioning patients to post-acute care