Seamless Support After Discharge

At Wings of Hope Medical Services, we recognize the unique challenges of transitioning home after a hospital or facility stay. Our Transitional Care Management services in Phoenix and the surrounding areas provide patients and their caregivers with the support they need for a smooth recovery. Our dedicated team bridges critical gaps in care, delivering personalized attention to help you navigate this important phase.

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What is Transitional Care?

Transitional Care ensures patients’ safe and effective shift from an emergency department (ED), hospital, skilled nursing facility, or short-term rehabilitation center back to their home in Phoenix, Arizona, and nearby communities. This process promotes continuity of care, helping patients recover safely while minimizing complications after discharge. Wings of Hope Medical Services offers a comprehensive approach tailored to empower patients and caregivers, reducing risks during this transition.

How Does It Work?

Our team of experienced healthcare professionals, including Registered Nurses (RNs) and Licensed Practical Nurses (LPNs), provides Transitional Care Management with skill and compassion for patients in the Phoenix area. Here’s how it works:

  • 1

    Timely Follow-Up Call: Within two business days of discharge, our nurses contact the patient to review their discharge summary, ensuring all instructions are clear and understood.

  • 2

    Personalized Care Planning: For “high-risk” patients, we schedule follow-up appointments with their primary care provider (PCP) within seven calendar days. For “moderate-risk” patients, follow-ups occur within 7–14 days, based on medical necessity.

  • 3

    Proactive Support: Our team addresses potential issues, including medication management, recognizing signs of recurrence, and understanding therapeutic regimens to ensure patients can manage their care confidently.

These steps create a smoother transition and help patients focus on recovery.

Who Benefits from Transitional Care?

Wings of Hope’s Transitional Care services are particularly valuable for individuals in Phoenix and the surrounding areas who are at higher risk for complications during recovery, including:

  • Older Adults: Especially those managing multiple chronic conditions and complex treatment plans.

  • Patients with Multiple Providers: Individuals transitioning between various healthcare settings and professionals.

  • Family Caregivers: Our services provide critical support and education to caregivers, helping them better assist their loved ones.

This approach ensures everyone involved in recovery is informed, supported, and prepared.

Benefits of Transitional Care

Our Transitional Care services deliver tangible benefits to patients and their families throughout Phoenix, Arizona, including:

  • Reduced Readmissions: By addressing social determinants of health, medication errors, and early signs of recurrence, we help prevent avoidable hospital readmissions.

  • Improved Patient Understanding: Patients and caregivers clearly grasp discharge instructions and ongoing care needs.

  • Tailored Recovery Support: Our proactive approach ensures care plans are customized for each patient’s medical and personal needs.

These benefits help patients regain their health and confidence as they transition to daily life.

Trust Wings of Hope for Transitional Care in Phoenix

Wings of Hope Medical Services is committed to providing compassionate, safe, and effective care for patients throughout Phoenix, Arizona, and nearby communities. Our Transitional Care services bring peace of mind to patients and their caregivers, ensuring every step of the recovery process is handled with expertise and dedication.

Ready to schedule Transitional Care services or learn more? Contact Wings of Hope Medical Services today to take the first step toward a seamless recovery journey in Phoenix and beyond. Let us help you navigate this transition with confidence and ease.

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