LIBERTYVILLE, Ill., May 7 /PRNewswire/ -- TouchPointCare is pleased to announce the introduction of TPC Transition Home, the first comprehensive, turnkey system solution designed to enable hospitals to reduce the $17 billion cost associated with unplanned hospital readmissions. Rehospitalization is "associated with gaps in follow-up care" according to a recently released report in the New England Journal of Medicine. TPC Transition Home enables hospitals to manage the transition of each patient into their home with a customized follow-up program.
TPC Transition Home begins with the implementation of the Care Transitions Program (CTM(TM) -15 or CTM(TM) -3) developed by Dr. Eric Coleman, MD, MPH. As stated in the Care Transitions Intervention(SM) web site, www.caretransitions.org, Dr. Coleman and colleagues, "designed a 15-item uni-dimensional measure, the Care Transitions Measure (CTM(TM)), to assess the quality of care transitions. The primary objective of this endeavor has been to develop a measure that is both substantively and methodologically consistent with the concept of patient-centeredness, and useful for the purpose of performance measurement and subsequent public reporting."
TouchPointCare Transition Home then closes the loop in the discharged patient follow up process. Through a set of proprietary TPC Transition Home templates a hospital simply indicates patient diagnoses, identifies cognitive issues, rates health literacy, identifies family/caregivers, downloads discharge instructions, including current medications, and selects a follow-up schedule. TPC Transition Home then creates a custom follow-up program to track and monitor patient symptoms and compliance. The system also serves to train and educate patients and family/caregivers in the process. The collected data closes the loop with continuous feed back to the hospital.
TPC Transition Home combines a variety of technologies ranging from the telephone to internet based IVR systems to meet the unique transition follow-up needs of patients and their family/caregivers. This data centric yet personalized approach to discharge follow-up, pioneered by TouchPointCare, enables the hospital to extend their care into the patient's home, thus, reducing unplanned rehospitalization and the attendant emotional and financial cost.
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