Transitional Care Model

The Transitional Care Model (TCM) is a healthcare approach designed to help patients smoothly transition between different care settings, like from hospital to home. It involves a team of healthcare professionals, including nurses and social workers, who support patients during this critical time. The goal is to reduce hospital readmissions and improve overall health outcomes by providing education, coordinating care, and ensuring patients have the resources they need. TCM focuses on personalized care and continuous support, helping individuals manage their health conditions effectively as they move between different stages of care.