Transitional Care
Aethra Care’s Transitional Care Program provides virtual or in-person support to patients throughout the Tampa Bay area, ensuring a smooth and stress-free transition from hospital to home. Whether you’re recovering from surgery, an acute illness, or another hospital stay, our telehealth services deliver the ongoing care and guidance you need to heal with confidence.
Transitional care after hospital discharge is crucial for a smooth recovery and can significantly impact a patient’s health outcomes. After leaving the hospital, patients may still require monitoring, medication adjustments, or follow-up visits to manage their condition and prevent complications. Transitional care ensures that patients have access to the right resources and guidance, reducing the risk of readmission by helping them adhere to their care plans and understand any new treatments or lifestyle adjustments. This level of continued support provides not only a safety net during recovery but also peace of mind for both patients and their families, enabling them to feel confident and secure in their path to wellness.
Who needs transitional care?
- Recent hospital or rehab facility discharge
- Recovery after surgery requiring follow-up care
- Ongoing support for acute illness recovery
- Older adults or those with chronic conditions needing post-hospitalization assistance
- Medication management and health monitoring following discharge
Our Transitional Care Process
- Post-Discharge Assessment: Reviewing the patient’s medical record and needs after discharge.
- Personalized Care Plan: Developing a tailored care plan that includes medication management, follow-up visits, and essential home health services.
- Service Coordination: Setting up remote monitoring, mobile lab services, imaging, and pharmacy deliveries as needed.
- Health Status Monitoring: Ongoing health monitoring to proactively prevent complications and readmissions.
- Consistent Communication: Maintaining regular contact with the patient, family, and healthcare providers for seamless, coordinated care.
If you are interested in in-home transitional care visits, call us at (813) 544-5924 or email us: [email protected].
Frequently Asked Questions
Who is eligible for the transitional care program?
This program is designed for patients recently discharged from a hospital, rehabilitation center, or outpatient surgery who need additional support during recovery and do not have immediate access to a primary care provider or follow-up provider after discharge.
Does my insurance cover transitional care?
You may be eligible for reimbursement from your health insurance provider however we do not submit claims or bill insurance companies directly. Our transitional care program is intended for individuals without immediate access to a primary care provider for follow-up, medication refills, or post-discharge visits. We accept all major credit cards.
How much does the program cost?
The cost of transitional care follow-up depends on the level of service required, the scope of medical record review, the complexity of the medical condition, and individual patient needs. Our standard virtual follow-up appointment, which includes essential services such as medical record review, assessment of your discharge diagnosis, review of your follow-up plan, and medication refills if needed starts at $99. More extensive reviews and interventions have additional charges.
Are follow-up lab and imaging services included?
Our program offers a variety of services, including mobile lab draws, imaging, and pharmacy deliveries to assist with your recovery. Please note that these services may involve additional fees.
