How our Care Transitions Program Works
- Comprehensive patient assessment and record review
- Patient, family and care team establish mutually agreed upon goals
- Develop a patient centric care plan
- Discuss expectations around services within the continuum
- Facilitate communication with the Care Coordinator and the care team
- Manage and modify care plan for seamless care across the continuum
Stop relying on payment models that will put you out of business
Fee-for-service is disappearing. But this creates an opportunity to make comprehensive changes that generate savings and improve post-acute patient care. We understand the stakes are high in making the shift to value-based care. But the stakes are even higher if you delay.
