Care Coordination & Transitions
Services / orthopedics
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About service:
We centralize communication between hospital teams, referring physicians, and home‑based caregivers (nurses, physiotherapists, dietitians, etc.), and schedule all in‑home visits.
How it works:
1. Pre‑Discharge Planning: Virtual meeting to set clinical thresholds, visit frequency, and roles. 2. Logistics & Scheduling: Coordinate caregiver visits, deliver medical supplies, and book specialists. 3. Multidisciplinary Reviews: Regular video‑conference check‑ins to fine‑tune the care plan.
Other Info:
Key Points:
Smooth Discharge: Average transition time under 4 hours cuts wait‑times and bed‑blocking.
Error Reduction: Automated reporting to all stakeholders prevents duplicative tests and medication mistakes.
Enhanced Communication: Real‑time updates and multidisciplinary reviews keep everyone aligned.
