Care Transitions Intervention

The Care Transitions Intervention is a program designed to help patients smoothly move from hospital to home, reducing the chances of problems or readmissions. It provides personalized support through a trained coach who educates patients about their conditions, helps them coordinate follow-up care, and encourages their active participation. By ensuring clear communication, proper medication management, and addressing concerns early, the intervention aims to improve health outcomes, enhance patient satisfaction, and reduce hospital readmissions, making the transition from hospital to home safer and more effective.