Transitional Care

Helping Patients Prepare for the Return Home

It’s time to leave the hospital, but you aren’t ready to care for yourself at home. That’s what Transitional Care is for — to support patients as they recover from a variety of illnesses and surgeries between the hospital and home.

Transitional Care provides:

  • A personalized plan of care that focuses on physical, spiritual and social needs
  • Daily skilled care delivered by nurses and/or therapists
  • A familiar environment that includes activities to help the patient get back to daily living and independence

Benefits of Transitional Care

  • Transitional care offers high-quality care in a familiar setting.
  • Multidisciplinary teams prepare patients for a successful return home to help prevent re-admittance to an acute care hospital.
  • Transitional care close to home makes it easier for family and friends to attend therapy sessions where they will learn how to help the patient when he or she returns home.
  • Patient rooms are well equipped, comfortable and easily accessible.
  • Transitional Care teams consult with providers from referring acute care hospitals, should questions or concerns arise.

Transitional Care Options

CentraCare offers Transitional Care in a variety of settings. Learn more about each below.

Community Hospital-Based Transitional Care

Transitional care at your local community hospital provides an ideal place to recover, offering:

  • Care team rounds with you and your family at your bedside
  • Hospital-level nurse staffing
  • Readily available physicians
  • Hospital resources like onsite imaging, lab and emergency services
  • Full rehabilitative therapy services
  • Data-driven quality program
  • Friendly, familiar staff
  • Easy parking, location close to home
  • Connections to your local primary care provider

Swing Bed Care

Swing bed care is another type of transitional care, and it is offered at several CentraCare locations.

Learn More About Swing Bed Care