What are Transitional Care Management Services?

Transitional care management (TCM) services refer to the coordination of care and exchange of information as patients transition between different healthcare settings, such as from a hospital to home or to a skilled nursing facility. The goal of TCM services is to prevent medical errors, reduce the risk of re-hospitalization, and ensure continuity of care as patients move between different providers and levels of care.

TCM services involve several important activities and responsibilities to help support patients during care transitions:

Communication between healthcare providers - Key members of the care team communicate effectively  Transitional Care Management Services with each other to coordinate care needs, treatment plans, pending tests or follow-up appointments as patients transition between settings. This helps ensure continuity of care.

Medication reconciliation - A review of the patient's medications is conducted to identify any discrepancies or potential issues that need to be addressed. Medication lists are updated and reconciled across different providers and care settings.

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