Transitional Care / Hospital-to-Home
Seamless hospital-to-home transition services in Las Vegas designed to reduce readmissions and ensure safe, successful recovery. Professional care coordination, medication management, and family education across Henderson, Summerlin, and North Las Vegas.
Transition Services:
Comprehensive Transitional Care Programs
Specialized hospital-to-home transition services designed to ensure safe, successful recovery and prevent readmissions for Las Vegas patients.
Reduce Hospital Readmissions
Comprehensive transition program designed to prevent unnecessary hospital readmissions through proactive monitoring and early intervention.
Program Benefits:
Timeline
30-60 days post-discharge
Primary Focus
Preventing readmissions, ensuring safe transition
Medication Reconciliation at Home
Comprehensive medication review and management program to prevent drug interactions and ensure proper medication adherence.
Program Benefits:
Timeline
Ongoing throughout care period
Primary Focus
Medication safety, adherence, optimization
Care Coordination Services
Seamless coordination between hospital, home health team, physicians, and specialists to ensure continuity of care.
Program Benefits:
Timeline
Throughout entire care episode
Primary Focus
Seamless communication, coordinated care
Family Education and Support
Comprehensive education program for family caregivers to ensure safe and effective care continuation at home.
Program Benefits:
Timeline
Initial intensive training, ongoing support
Primary Focus
Empowering families, ensuring safety
Our Hospital-to-Home Transition Process
A systematic approach to ensure safe and successful transition from hospital to home
Pre-Discharge Planning
Coordination with hospital discharge team to plan seamless transition home.
Home Readiness Assessment
Evaluation of home environment and preparation for safe patient return.
Initial Home Visit
Comprehensive assessment within 24-48 hours of hospital discharge.
Care Plan Implementation
Execution of personalized care plan with regular monitoring and adjustments.
Ongoing Monitoring
Continuous assessment and communication with healthcare team.
Successful Transition
Achievement of care goals and successful transition to independence or ongoing care.
Readmission Risk Factors We Address
Common factors that increase hospital readmission risk and how our program addresses them
Recent hospitalization (within 30 days)
Multiple chronic conditions
Complex medication regimens
History of hospital readmissions
Limited family support or social isolation
Cognitive impairment or confusion
Functional limitations or mobility issues
Inadequate discharge planning
Poor medication adherence
Lack of follow-up care coordination
Proven Transitional Care Outcomes
Our transitional care program delivers measurable results for patients and families
Reduction in 30-day readmissions
Patient satisfaction rate
Medication adherence improvement
Successful care transitions
Benefits of Professional Transitional Care
Why professional hospital-to-home transition services make a difference
Safer Transitions
Professional oversight ensures safe transition from hospital to home with reduced complications.
Coordinated Care
Seamless communication between all healthcare providers ensures continuity of care.
Peace of Mind
Families feel confident knowing professional support is available during the transition period.