Transitional Care Management (TCM)​

Transferring between healthcare settings—such as from hospital to home health—can be a stressful and confusing process for patients, families, and caregivers alike. Sterling Health Solutions is dedicated to ensuring patients receive continuous, high-quality care during these transitions, helping to reduce complications and prevent unnecessary hospital readmissions.
 

Why Choose Sterling Health Solutions for Transitional Care Management?
 

1. Ongoing Engagement
   We don’t just make a one-time visit and disengage. Our team stays connected throughout the patient’s home health journey—and beyond—to maintain consistent support and address any emerging concerns.
    

2. Remote Patient Monitoring (RPM)
   During home health, we enroll patients in remote monitoring to capture
   real-time vital sign data. This allows us to spot potential issues early, make
   timely care decisions, and ultimately enhance quality of care.
    

3. Immediate Televisits
   If RPM flags a serious concern, our providers launch a video televisit right
   away, potentially avoiding an ER visit by catching and addressing problems
   at the earliest signs.
    

4. Continuous Monitoring After Discharge
   Even when a patient completes their home health program, we keep them
   on remote monitoring. If an issue arises, we notify your agency in real time,
   offering you the chance to reinitiate services as needed.
    

5. Extended Care Options
   For patients without a primary care provider, we offer:

   • Chronic Care Management (CCM)

   • House Call Physician Services
     These programs ensure deeper insight into long-term health needs and help maintain stability once home health ends.
      

6. PatientPing Enrollment
   We enroll patients in PatientPing to receive real-time alerts if they visit the emergency room or are admitted to a hospital—up to a year after discharge. This instant notification empowers your agency to promptly reengage and provide necessary support.
    

The Power of Seamless Transitions
 

With Sterling Health Solutions, Transitional Care Management means more than simply moving a patient between services. We deliver comprehensive oversight, from enrollment in remote monitoring to acute care alerts—so patients stay safe, and care teams stay informed. If you’re looking to minimize gaps in care and ensure smoother recovery paths, contact us today to learn how our TCM approach can make a meaningful difference.
 

To learn more about how our Transitional Care Management services can support you or your loved one, contact us at:
 

• Phone: 214-256-3300

• Email: info@sterlinghealth.solutions
  
   

We’re here to help you navigate unexpected health challenges and regain
peace of mind as quickly as possible.