Transitional Care
Transitional Care is a temporary free of charge services to help family member to adjust and understand patient’s care.
Transitional Care is involved when a patient leaves one care setting and moves to another.
Guided Planning
Developing a personalized plan to ensure a smooth move from one care setting to another, such as from a hospital to home or assisted living.
Care Coordination
Identifying and addressing communication barriers between care teams to ensure everyone is informed and aligned on the patient’s needs.
Caregiver Support
Engaging caregivers as active partners, offering guidance and advocacy to help them feel confident and supported.
How We Provide Transitional Care
Expert Nursing Oversight
Our experienced nurses lead the transition process by assessing the patient’s condition, developing a detailed care plan, and ensuring continuity between settings. They are the bridge between medical teams, caregivers, and family members.
Patient & Family Empowerment
We actively involve patients and caregivers in care decisions, provide clear instructions, and offer emotional support. You’re not alone we’re with you at every step to ensure a safe and confident transition.
Hands on Coordination
We communicate directly with hospitals, doctors, home health teams, and facilities to ensure nothing gets missed. From medication lists to discharge summaries, we handle the details so you don’t have to worry about anything.
Seamless Continuity of Care
Our team ensures your care doesn’t skip a beat. We work directly with discharging providers, review all medical records, and create a care plan that follows you into your next setting.
From Hospital to Home We’re With You All the Way.
We don’t disappear after discharge. Our team remains accessible and ready to assist if concerns arise, ensuring you and your loved ones feel supported at all times.