Welcome to PHOENIX AGED CARE PTY LTD
Many of the individuals in our care are focused on making a smooth, safe transition from a healthcare facility, such as a hospital, back to their home.
Our non-medical care model includes essential services to support patients during this transition, such as:
"Care transitions" refers to the movement of patients between different healthcare providers and settings as their condition and care needs change during the course of a chronic or acute illness.
For example, during an acute flare-up of an illness, a patient might receive care from a General Practitioner (GP) or specialist in an outpatient setting. They may then transition to a hospital physician and nursing team during an inpatient stay, followed by a care team at a skilled nursing facility. Eventually, the patient might return home, where they would be cared for by a visiting nurse. Each of these shifts between care providers and settings is considered a care transition.
Through healthcare reform and new initiatives, the federal government aims to save billions of dollars by encouraging hospitals to reduce preventable readmission rates.
Care transitions programs enable hospitals to focus on reducing these rates by improving care coordination for patients between different settings. This, in turn, lowers the likelihood of a related readmission. The primary advantage of these programs for hospitals is that they are relatively low-cost to implement and, if successful, can yield a strong return on investment (ROI) in both clinical and financial outcomes.
Due to the structure of our healthcare system, patients often experience fragmented care when transitioning between different healthcare settings. Many elderly patients with chronic conditions require care from multiple providers.
Some common issues arising from poor transition management include:
