St. Joseph's Hospital and Medical Center in Phoenix has launched a new program designed to improve patients' transitions from the hospital to their homes as well as reduce long-term healthcare costs.
The new program is in partnership with the insurance provider Mercy Care Plan and the Foundation for Senior Living.
Under the new program, a transitional care nurse from FSL will visit with patients and caregivers to review the information and instructions provided by the hospital's key discharge team. Within 24 hours of discharge, a transitional care coach will visit the home to ensure that the patient and family can actively manage their own care. For the first 30 days after discharge, these patients will also have access to a 24-hour nurse call-in service and will receive phone calls or in-home visits from transitional are coaches.
The new program and resource center will become an extension of the hospital's medical home program that aims to provide patients with better care and reduce unneeded readmissions to the emergency room.
The new program is in partnership with the insurance provider Mercy Care Plan and the Foundation for Senior Living.
Under the new program, a transitional care nurse from FSL will visit with patients and caregivers to review the information and instructions provided by the hospital's key discharge team. Within 24 hours of discharge, a transitional care coach will visit the home to ensure that the patient and family can actively manage their own care. For the first 30 days after discharge, these patients will also have access to a 24-hour nurse call-in service and will receive phone calls or in-home visits from transitional are coaches.
The new program and resource center will become an extension of the hospital's medical home program that aims to provide patients with better care and reduce unneeded readmissions to the emergency room.
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