What is a transitional care center?

The Transitional Care Unit (TCU) is an important part of the medical center. The TCU is a skilled nursing facility that assists patients as they transition from a stay in the hospital to home or another level of care. The team assesses each patient and sets goals for discharge upon arrival into the unit.

What is transitional care housing?

Transitional care is designed to help patients get back on their feet safely after a hospital stay because of an illness or surgery – think of it as a stepping stone between the hospital and your home. During your stay, you may receive physical, occupational or speech therapies as needed.

Is transitional care free?

Before you can access the transition care program you need to be assessed by an Aged Care Assessment Team (ACAT). This is a free assessment that determines your eligibility to receive the government-subsidised aged care services.

Who qualifies for transitional care?

The program cares for people who are: 70 years of age and older. Aboriginal and Torres Strait Islanders aged over 50 years. Have completed their acute and/or subacute care.

Is transitional care considered inpatient?

Transitional care services are typically provided to patients discharged from an inpatient acute care or inpatient psychiatric hospital, skilled nursing facility or long-term care hospital, inpatient rehab facility, outpatient observation stay, or a partial hospitalization at a community mental health center.

Is Transitional Care considered inpatient?

How does transition of care work?

Transitional care encompasses a broad range of services and environments designed to promote the safe and timely passage of patients between levels of health care and across care settings. These patients typically receive care from many providers and move frequently within health care settings.

What individuals are most affected by transitions of care?

Older people with complex health issues are most likely to undergo multiple transitions of care and are at the highest risk for adverse events and safety incidents (4). The patient’s journey through the health care system can involve a number of interfaces between primary, community and hospital care.

How does the transitional care model work?

The Transitional Care Model is designed to prevent health complications and rehospitalizations of chronically ill, elderly hospital patients by providing them with comprehensive discharge planning and home follow-up, coordinated by a master’s-level “Transitional Care Nurse” who is trained in the care of people with …