Our commitment to high quality and safe care also includes when you transfer between inpatient and outpatient care.
To support you, we:
- Assess your needs and support system.
- Align resources.
- Have a discharge plan manager guide you and your family to the next level of care.
We also assign a readmission risk score, which we keep updated. This score helps us detect and respond if you’re at a higher risk of being re-hospitalized for a reason we can avoid.
We can also offer helpful and custom interventions, such as:
- A home visit from a nurse.
- Community resource support.
- Insurance-supported programs and professionals.
Our goal is to support your transition in a way that allows for a positive outcome and a decrease in future admissions.