Key Strategies to Improve Transitional Care Management (1)

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How to Improve Transitional Care Management?
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Patient readmissions can be costly for healthcare
providers. A well-executed transitional care
management plan is crucial to avoid penalties and
ensure positive patient outcomes.
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• Assessment and Planning

Assess patients' needs and preferences upon
admission to develop individualized care plans
for successful transitions.

• Medication Access and Adherence

Educate patients and caregivers on medication
regimens and ensure access to prescribed
medications after discharge.
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• Follow-Up Visits

Monitor progress and address complications by
scheduling follow-up appointments within 7-10
days from discharge.

• At-Home Care

Arrange for services like cooking, cleaning, and
grooming for patients in their homes to aid
recovery after discharge.
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• Recalling the Plan

Ask patients to repeat the discharge plan,
medication regimen, and at-home support services
to ensure understanding.
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Be proactive in improving your transitional care
management services and reduce readmissions.
Contact Sequence Health today for expert
assistance.
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Reach Us At
Sequence Health
10 Inverness Center Pkwy 600, Birmingham,
Alabama 35242
888 986 3638
Info_at_SequenceHealth.com
SequenceHealth.com