Transition of Care
It is well-understood that helping recently-discharged patients to remain out of the hospital is not only in their best interest, but also cost-effective.
According to Health Affairs, inadequate care coordination/management, particularly as it relates to “care transitions” was responsible for up to $45 billion in wasteful spending in 2011 as a result of avoidable complications and hospital readmissions. Imagine what that the figure is today, 8 years later! ACCM’s Transition of Care program is designed specifically to address this issue.
ACCM partner hospitals, each week, refer 25-30 new patients to us so that we may coordinate the transition from the inpatient- to the home-environment. Within 24 hours of discharge, and monthly thereafter (plans are customized to the needs/specifications of hospitals), our Care Managers call each patient to discuss self-care, educate them on preventative strategies to help them remain healthy, and ensure they schedule required followup visit(s) with their provider(s). This program has been demonstrably effective, reducing ED visits and hospital readmission rates.
Contact ACCM today to learn how we can help your patients to remain healthy, in their homes, and out of the hospital/ED.