TCM Services

Decrease patients' readmission to hospital within 30 days of discharge
Refill medication if applicable
Optimize patients' stability at Home after Hospital discharge avoiding unwarranted visits to Hospital
Treat newly developed health conditions post-hospital/rehab discharge
Comprehensive Health Assessment
Encourage patients' follow-up with Primary Care Physicians and specialists
Educate patients about their health conditions and other treatment options
Pain Management if applicable
Answer questions of concern from patients, families, or caregivers
Understand patients symptoms and assist with treatment
New Medication Prescription if applicable
Document new diagnoses, apply treatment, and monitor
Complete Medication Reconciliation
More education on medications, diagnoses, discharge orders, and current treatment plan
Transitional Care Management (TCM) is only a 30-day post-discharge monitoring program for patients' health and stability in the comfort of their homes to discourage hospital readmission