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)