Transitional Care
Management (TCM) Support

Care Co-ordination

TCM allows for services to be provided to a patient whose medical and/or psychosocial problems require moderate or high-complexity medical decision-making during transitions in care from an inpatient hospital setting (including acute hospital, rehabilitation hospital, long-term acute care hospital), partial hospital, observation status in a hospital, or skilled nursing facility/nursing facility, to the patient’s community setting (home, domicile, rest home, or assisted living). American Academy of Family Physicians (AAFP), 2013 .

  • Increase quality & trustworthiness of health content
  • Improve readability level of targeted population
  • Improve receptivity to health information & promote healthy behavior change
  • Fulfill writing criteria for grant proposals & acceptance

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