Transitions of Care Solution 

Custom designed, post-discharge follow-up services that complement your clinical
expertise with a holistic approach to transitions of care.

A Holistic Approach to Transitions of Care

Attempting to avoid preventable readmissions and reduce their risk of penalties, health systems are turning to their already limited care management resources to contact patients after discharge — an inefficient approach at the expense of clinical priorities.

We become part of your overall population health program. With light and efficient multi-channel touches, we help you proactively reach more patients after discharge from acute care or ambulatory settings while you focus on the patients that need you most. Through a brief assessment, we review the patient’s experience and transitions of care needs. Based on their responses, some calls are escalated to our clinical team to review discharge instructions and coordinate follow-up care to support the recovery process.


  • Standard Scheduling

  • Patient Registration & Insurance Verification

  • Education & Information

  • Consumer Referrals

  • Clinical Post-Interaction
    Follow Up

How Bon Secours Mercy Health is Building Loyalty with Patients After Discharge

Webinar | A Holistic Approach to Transitions of Care

In this webinar, learn how Bon Secours Mercy Health, one of the largest Catholic health systems in the country is transforming the discharge experience with a more practical and holistic approach to transitions of care, ensuring that 100% of patients received timely follow-up, significantly reducing readmissions and increasing patient engagement.

Watch the Full Webinar Today!

A New Approach to Transitions of Care

Download Your Guide Today

There is a direct connection between your transitions of care process and how likely a patient is to return to the emergency department. Our New Approach to Transitions of Care Guide can help you understand those connections and share insights into improving the care transition process for your patients and providers.

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