We meet in the home to go over discharge information and answer any questions to keep everyone safe.
How our Transition of Care Program works
Our Transition of Care Program provides the opportunity to extend care into the home by supporting individuals after a recent hospital stay. We help those who have been admitted to the hospital and have a strong likelihood of a hospital readmission based on diagnosis, co-morbidities and functional health status.
Alegis Care can deliver an in-home visit post-discharge from any acute, observation, long-term acute care (LTAC) hospital or skilled nursing facility (SNF).
Once Alegis Care is notified that an individual has been discharged, our clinicians work directly with an individual's primary care doctor to ensure care coordination needs are addressed to help keep members safe in their homes and out of the hospital.