Transition Care Management

Our residents

When a patient is discharged from a hospital or skilled nursing facility, the two main reasons that the patient would return to the hospital are: 1. Medication issues- not understanding their medication or non-compliance; and 2: failure to follow-up with their primary care provider. Red Tree is combating both by way of their Transition Care Management Program.

Upon discharge from a health care facility, Red Tree will dispatch a physician or Nurse Practitioner to the patient’s house to not only provide primary care, but help navigate through the health care process.  The goal is simple: provide and coordinate all aspects of care the patient needs at home between the time of discharge and the time of their first appointment with their regular primary care provider.  If the patient does not have a primary doctor, then Red Tree can continue to provide these services at home. However, it is important to highlight that Red Tree is not taking the place of the patient’s regular primary care doctor. We are bridging the time between discharge and their first appointment to their primary care doctor, which Red Tree will assist the patient in setting.

 

Hospital Re-Admission Facts

50% of Medicare patient re-admissions had no contact with their PCP between hospitalizations.

PCP had no contact with Patient.

67% of Medicare patient re-admissions occur due to medication non-compliance.

Due to medication non-compliance.

 

Red Tree works in collaboration with and coordinates consulting physicians specialists, such as cardiology or podiatry. We also work with home health agencies that send registered nurses, physical therapists and occupational therapists to the home following discharge. We ensure that proper orders for those services are in place.

Services we provide at home include:

  • Blood work, including PT/INR checks
  • Medication Management
  • X-rays
  • EKG’s
  • Ultra Sounds
  • Order Home Medical Equipment
  • Wound Care
  • End of Life Care
  • Educate You and Your Caregivers About Your Health Conditions Offering Support and Guidance Moving Forward
  • Collaborate with Your Existing Primary Care Provider and Specialists to Coordinate Your Medical Care
  • Work with Existing or Bring in Home Health Services Such as Registered Nurses, Physical Therapists, Occupations Therapists and/or Home Health Aides for Care-giving.

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954.585.1000

Contacts

  Email us at: info@redtreehealth.com

  Phone: 954-585-1000

   Fax: 954-951-5277

   2881 East Oakland Park Blvd, Suite 323
   Fort Lauderdale, FL 33306