Transitional Care Management | Signallamp Health

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”.

Step 1

Cartoon animation of a hospital with an ambulance outside of it

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

Step 2

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.

Step 3