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.
  • LTC Scripts 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)

-2

Anticipate discharge date. Send electronic intake form

Document patient Rx regimen. Discharge date finalized

-1

Day of Discharge. Provide Patient with Rx

0
2

Pharmacy follow-up call (Senior Tech)

Telepharmacy on Demand

3-5
7

Check in Call #1 (Pharmacist)

Check in Call #2 (non-Pharmacist)

10
12

Appointment Reminder

Appointment #2 (RN)

14
16

Appointment Reminder

Appointment #2 (RN)

18
21

Check in Call #3 (LPN)

Physician Call. Refill Reminder (Pharm Tech)

25
28

Deliver Rx

Check in Call #4 (Pharm Tech)

30
42

Check in Call #5 (Pharmacist)

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

55
60 - 90

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