Transitional Care Management (TCM) services address the hand-off period between the inpatient and community setting. After a hospitalization or other inpatient facility stay (e.g., in a skilled nursing facility), the patient may be dealing with a medical crisis, new diagnosis, or change in medication therapy. Family physicians often manage their patients’ transitional care.
Our solutions acts as an enabler to schedule face-to-face appointments, extend care remotely, access real time patient-health information through bi-directional integration with EHRs.
An interactive dashboard with access to patient information and various tools for providers to deliver TCM activities efficiently.
During the transition period from an inpatient hospital to the community setting, TCM servicing generally fall into three categories.
Our TCM software solution automates workflows to simplify time-consuming tasks, minimizing staff burnout. PreveSync is designed to enhance the health standards and help you meet the needs of patients holistically with robust mechanisms to analyze respiratory system status, musculoskeletal system status and therapy adherence.
PreveSync has a dedicated Security & Compliance team to guarantee that privacy is built into our people, systems, and third-party relationships. All of our components, including the patient engagement module, are HIPAA compliant, including SMS and in-app messaging.
The PreveSync platform enables providers to deliver care management services for Remote Patient Monitoring (RPM), Chronic Care Management (for multiple patients) (CCM), and Virtual Visits at the same time. Remote Patient Monitoring can be invoiced at the same time as principal care management as long as the time is not billed twice. This also applies to Transitional Care Management (TCM).
PreveSync's Integrated Approach to Care Management enables providers to deliver care to patients by utilizing Transitional Care Management Services to provide support to patients as they move between different healthcare settings or stages of care, promoting seamless transitions, enhancing results, and minimizing potential complications.
Readmission Rates
Approximately 1 in 5 Medicare beneficiaries in the US are readmitted in the hospital within 30 days of discharge.