• According to the Healthcare Information and Management Systems Society (HIMSS) unplanned hospital readmissions lead to a $15 billion expense. $12 billion can be reduced by establishing an effective transitional care system.

  • Preventing avoidable readmissions has the potential to profoundly improve both the quality-of-life for patients and of the financial well-being of healthcare systems. It can also help prevent your organization from receiving penalties. This year alone CMS will be withholding $528 million in reimbursements to over 2500 organizations, which is an all-time high.

  • Community Care Rx aims to remedy this issue at hand with a systematic and efficient pharmacy transitional care program. This program provides:

    • State of the art medication packaging to reduce misuse of medication
    • 24-hour nurse and pharmacy consultant availability
    • Reliable and exclusive telepharmacy programs
    • In-depth monitoring systems
    • Home visits

Transitional Care Timeline (days)

  • -3

    Anticipate discharge date. Send electronic intake form

  • -2

    Document patient Rx regimen. Discharge date finalized

    -2

  • -1

    CCRx RN discussion with PCP to obtain outpatient Rx order

  • 0

    Day of Dishcarge. Provide Patient with Rx

    0

  • 1

    Meet with Pharmacist

  • 2

    Pharmacy follow-up call (Senior Tech)

    2

  • 3-5

    Telepharmacy on Demand

  • 7

    Check in Call #1 (Pharmacist)

    7

  • 10

    Check in Call #2 (non-Pharmacist)

  • 12

    Appointment Reminder (CCRx Customer Service)

    12

  • 14

    Appointment #2 (RN)

  • 21

    Check in Call #3 (LPN)

    21

  • 25

    Physician Call. Refill Reminder (Pharm Tech)

  • 28

    Deliver Rx

    28

  • 30

    Check in Call #4 (Pharm Tech)

  • 42

    Check in Call #5 (Pharmacist)

    42

  • 55

    Physician Call. Refill Reminder (Pharm Tech). LPN Visit

  • 60 - 90

    Additional Check in Calls and Refill Reminders (by RPh, RN, and LPN)

    60 - 90