Transition & Home Care
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.
-1
CCRx RN discussion with PCP to obtain outpatient Rx order.
0
Day of Dishcarge. Provide Patient with Rx.
1
Meet with Pharmacist
2
Pharmacy follow-up call (Senior Tech)
3-5
Telepharmacy on Demand
7
Check in Call #1 (Pharmacist)
10
Check in Call #2 (non-Pharmacist)
12
Appointment Reminder (CCRx Customer Service)
14
Appointment #2 (RN)
21
Check in Call #3 (LPN)
25
Physician Call. Refill Reminder (Pharm Tech)
28
Deliver Rx
30
Check in Call #4 (Pharm Tech)
42
Check in Call #5 (Pharmacist)
55
Physician Call. Refill Reminder (Pharm Tech). LPN Visit
60-90
Additional Check in Calls and Refill Reminders (by RPh, RN, and LPN)