MD24 House Call - Transitional Care

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Fall Prevention
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Transitional Care
Ophthalmology
Cardiology
ENT

". . . great addition providing healthcare to our residents in their home . . . not only responsive to residents, but their families and our staff . . . ideal relationship for all"
- R. Burr

Associations

MD24 Transitional Care

	MD24 Transitional Care Planning Specializes in preventing “revolving door” hospital readmissions
	Our solution will provide measurable results that can be realized quickly. This allows you to reduce the number of preventable readmissions and improve care upon discharge from the hospital. We will send qualified providers or board-certified physicians and visit you at home

Comprehensive services include:
	Communicate and work with Case Managers and Discharge Planners to move patients smoothly, quickly and safely to home, assisted living or skilled nursing Facilities
	Coordinate post-discharge appointments with physicians and other health personnel
	Medication and dietary education for patient and care givers
	Coordinate orders for durable medical equipment and ancillary services
	Post hospital discharge monitoring for 30 days

Benefits for Discharge Planners,
Case Managers and hospitals

	Reduce percentage of re-hospitalizations in the first 30 Days
	Decreased costs for hospital readmissions
	Continuity of care for patient discharges
	Improved discharge processes
	Early post discharge follow-up
	Increase patient satisfaction

MD24 Transitional Care planning will benefit patients primarily suffering from conditions such as:
	CVA/TIA
	CHF
	COPD
	Pneumonia
	All post surgery
	And others common conditions, i.e. infection, fracture hip, chest pain, etc.

Next Steps
	Call our MD24 Transitional Care planning specialist to learn more about how this service can be provided
	We accept patient referrals from hospital Case Management, Discharge Planning, physicians and hospitalists
	Medicare and most insurance carriers cover the cost of this service. Our office staff will verify the level of insurance coverage prior to beginning any Transitional Care planning