Transitional Care Management considers a patient’s medical, physical, cognitive, economic and emotional capabilities as well as their available support system in preparation for discharge from the hospital. In an effort to manage care effective, healthcare organizations must seamlessly manage their clinical course of care and transition from the hospital to the community. Payer requirements and CMS beneficiary rules, along with incentive programs allow for healthcare organizations to improve processes for proper care management.
To improve clinical and operational effectiveness, DSE Associates assist providers in reducing clinical variation and optimizing length of stay; while enhancing patient flow and maximizing clinical capacity from the outpatient setting, to the emergency room, the inpatient setting, the community. DSE evaluates clinical care coordination and collaboration, quality, desired outcomes, structure and medical management processes that will lead to solutions that improve patient flow, minimize unnecessary re-admissions/ER visits and allow organizations to consider new opportunities.