Transitional Home Care

When your loved one is ready to transition from the hospital to home or to another post-acute care facility, transitional care services from Interim HealthCare can make it a smooth process with optimal outcomes.

What is Transitional Care?

If your loved one’s condition is stabilized or healed enough and hospital care (also known as acute care) is no longer needed, transitional care can help bridge the gap between the level of care they received in the hospital and self-management. Transitional home health care is recommended for a wide variety of conditions, including chronic illness, burns, and more, and has no restrictions on age. Proper transitional care is crucial to maintain progress and avoid rehospitalization.

Benefits of Transitional Care

Interim HealthCare can operate as part of your team of dedicated healthcare professionals to coordinate seamless care, which may include:

  • Onsite access to transitional care coordination
  • Timely assessment of patient and family needs prior to discharge
  • Information and education for managing ongoing care, such as home care services, discharge plans, follow-up appointments and treatments
  • Support for hospital staff with home care and post-acute care referrals
  • Expedited referrals for all types of post-acute care, including:
    • Home healthcare
    • Hospice care
    • Palliative care
    • Personal care and support
    • Skilled nursing facilities and rehabilitation
    • Specialized discharge needs (DME, Infusion, etc.)
  • Improved transition to the home care team, from contacting physicians and coordinating prescription pick-ups to confirming start-of-care date and insurance authorizations
  • Insights on post-acute care trends and data based on readmissions by diagnosis


A Trusted Provider of Transitional Home Health Care

When it's time for a patient to transition home, our team of healthcare professionals can manage all the details to ensure patients and their families have the knowledge, guidance and equipment needed to transition safely. When patients know what to do and expect, they are better equipped to manage their condition and avoid unnecessary readmission. Leveraging more than 55 years of clinical excellence in transitional home care, we can help you move from care facility to home with total confidence and seamless support.