Dearborn, MI
(313) 203-3076

RightTransitions Improves Patient Outcomes

Right At Home has implemented a Care Transitions discharge assistance plan for patients going home after a hospital or skilled rehabilitation stay to help reduce the risk of re-admissions back to the facility by providing services that will assist in their recuperation

The Care Transition program is designed to allow discharge planners to release their patients to an environment that is well prepared and where the patient will get the best care in their own home to recuperate.

Why Call Right at Home?

Right At Home understands that discharges can happen very quickly at any time. We have personnel available 24/7 and can assist with patient discharges within a couple of hours of notification from the case manager. Right At Home will stay with the patient from the time they leave the facility until they are safely back at home and and insure they receive everything they need.

As a component of the "Patient Centered" care approach, we provide follow up to the necessary health care professionals to ensure the patient's recovery remains the primary focus.

Patient Outcomes Resources


Estimated decrease in Medicare payments due to HRRP1 penalties in FY 2019

1 Hospital Readmissions Reduction Program
(Source: CMS)

Key Components of a Successful Transition Program

Empowering your patients with a successful discharge plan that includes RightTransitions can significantly reduce the risk of readmissions and increase overall patient satisfaction with your facility.

Enhanced Communication Between Care Providers and Patients

  • Care coordination
  • Care plan adherence
  • Post-acute care plan follow-up
  • Communication with all care providers

Follow-up and Transportation to Physicians

  • Ensuring follow-up with MD/PCP/specialists
  • Transportation assistance
  • Appointment reminders
  • Appointment attendance

Clear Instructions on Post-Discharge Care and Medications

  • Essential reminders
  • Adherence to discharge instructions
  • Care plan education
  • Nutrition / hydration
  • Timely initiation of care

Provide Proactive Solutions

  • Care coordination
  • Assistance with dietary restrictions/changes
  • Fall risk reduction
  • "Eyes and ears" of in-home, nonmedical care for high-risk, complex cases

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