Fairfax, VA
(703) 538-4584

RightTransitions Improves Patient Outcomes

Discharging a patient requires a lot of attention to detail and communication among several individuals. Patients and families have different expectations which leads to inaction or poor decisions.

Right at Home can help by being a patient advocate and community service expert that can recommend and refer other services potentially unknown to the hospital case managers. We will follow the patient for the first 30 days to ensure they are following up with their doctors, taking appropriate medications, and eating healthy!


$566M

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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