SERVICES
Transitions in healthcare — whether from hospital to home, from one care setting to another, or between various healthcare providers — can be challenging for patients and their families. At Heritage Health Network, our Transition of Care program is designed to ensure these transitions are smooth, well-coordinated, and supportive, reducing the risk of complications and readmissions.
Our focus is on seamless care coordination during critical transition periods. We understand that each transition is a pivotal point in the healthcare journey, and our dedicated team ensures continuity of care by closely collaborating with hospitals, primary care providers, specialists, and family members.
Every patient’s needs are unique, especially during transitions. We develop personalized transition plans that detail every step of the process — from medication management to follow-up appointments, from home healthcare arrangements to the provision of necessary medical equipment. Our plans are designed to address your specific health requirements, providing peace of mind and clarity during transitions.
Transitioning between care settings can be as much an emotional and social challenge as a medical one. Our program extends support beyond clinical care to include emotional support, education about your health condition, and assistance with social determinants of health such as housing, nutrition, and transportation, that are vital for a successful transition.
A key goal of our Transition of Care program is to reduce the likelihood of hospital readmissions. By ensuring that you receive appropriate follow-up care, understand your medications, and have access to ongoing support, we aim to improve your health outcomes and prevent the need for rehospitalization.
Effective communication is essential during transitions. We ensure that you and your loved ones are kept informed and involved at every stage. Our team is always available to answer questions, provide updates, and alleviate any concerns, ensuring a transparent and comforting transition experience.
If you or your loved one is facing a healthcare transition, reach out to Heritage Health Network. Our Transition of Care program is here to guide you through the process, ensuring a smooth and supportive journey to your next phase of care.
