Transitional Care Management

About this Service

Transitional Care Management (TCM) services address the hand-off period between the inpatient( Inpatient Acute Care Hospital, Inpatient Psychiatric Hospital, Long-Term Care Hospital, Skilled Nursing Facility, Inpatient Rehabilitation Facility, Hospital outpatient observation or partial hospitalization, Partial hospitalization at a Community Mental Health Center) and community setting (home). After a hospitalization or other inpatient facility stay (e.g., in a skilled nursing facility), the patient may be dealing with a medical crisis, new diagnosis, or change in medication therapy.
Transitional care management (TCM) is intended to reduce potentially preventable readmissions and medical errors during the 30 days following discharge from the acute care setting.