Features, Benefits, and Getting Started

The 30 days program.

That is a critical time frame for patients with moderate or high-complexity medical issues after they have been discharged from an inpatient setting, such as a hospital. During this period, chances of readmission are increased if proper transition and quality of care is not provided. Transitional Care Management (TCM), is an initiative started by the Centers for Medicare and Medicaid (CMS) to provide patients with services involving a transition of care during those 30 days after discharge from one of the following settings:

  • Inpatient acute care hospital

  • Inpatient psychiatric hospital

  • Long-term care hospital

  • Nursing home

  • Inpatient rehabilitation center

  • Hospital outpatient observation/partial hospitalization

TCM is a vital service that aims to eliminate gaps in patient care and readmission during critical periods. The result? Patients can see as high as an 86% decrease in odds of readmission compared with patients who did not receive TCM. Through our intuitive program, we’ve helped many facilities deliver better quality of care to their patients, through the implementation of TCM programs.