Published studies show that 46% of medication errors occur at a transitional point of care. *

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Transitional Care Management (TCM) is simply care management to help patients make the transition from care setting to another, though, usually as a result of a discharge from an inpatient hospital. Specific goals for the program include:

  • Adhering to their post-discharge care plan, including filling and taking all of their medications,
  • Receiving and using any home health services that were ordered, and
  • Completing a face-to-face visit with their primary care physician withing 30 days of discharge.

Just the act of attempting to initiate that first contact with a patient to engage them in the TCM process has been shown to have significant impact. A study titled “Reducing Readmission Rates Through a Discharge Follow-Up Service”, found that patients who did not receive an “attempt to contact” post-discharge, were predicted to have a hospital readmission at a rate of nearly twice that of patients that did receive an “attempt to contact”.

Robust TCM That Delivers Results & Pays for Itself

Here's How the Signallamp Model Boosts the Performance of Your TCM Program:

Initial attempts to contact patient performed by Signallamp nurses within 48 hours of discharge.

Once contact is made, Signallamp nurse does a medrec, reviews care plan with patient, and coordinates a face-to-face visit for the patient with their PCP ASAP.

Patient goes in for face-to-face consultation with their PCP.
Ongoing remote chronic care management performed by Signallamp after patient exits TCM program.

Interested in learning more about how you can transform your TCM program to significantly improve patient outcomes and lower your readmission rates? Contact us today to schedule your consultation.

Proven Model. Trusted by Many.