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Glossary
Transitional Care Management

What is Transitional Care Management?

Transitional Care Management (TCM) encompasses services designed to ensure continuity of care when patients transition between different healthcare settings, such as from hospital to home. TCM includes care coordination, medication management, follow-up appointments, and education to prevent complications and readmissions during these vulnerable transition periods.

Why is Transitional Care Management important?

  • Readmission prevention: Reduces hospital readmissions through careful follow-up.
  • Continuity assurance: Maintains consistent care across different settings and providers.
  • Complication reduction: Addresses potential problems before they become serious.

Key components of Transitional Care Management

  • Interactive contact with patients within 2 business days after discharge.
  • Medication reconciliation and management.
  • Follow-up medical appointments and care coordination.

How Solace can help

A Solace advocate can provide transitional care management support by coordinating follow-up care after hospital discharge, ensuring medication lists are accurate and prescriptions are filled, scheduling appropriate appointments, and helping you understand discharge instructions. They can also help address any new symptoms or concerns that arise during the transition period and ensure that all your providers have updated information about your hospital stay.

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