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tRANSITIONAL CARE MANAGEMENT (TCM)

If you have Medicare or Medicare Advantage, you are eligible for our services! Transitioning home after a hospital or rehab stay can be overwhelming, but Stella Healthcare is here to help. We provide the guidance and support you need to recover safely and comfortably at home, ensuring a smooth transition. Our goal is to reduce complications, prevent unnecessary hospital readmissions, and give you peace of mind during this critical time. Let us make your transition easier so you can focus on healing.

 

Personalized assistance from a dedicated healthcare professional who will work with you to create your care plan.

Clinical staff will educate you and your loved ones, providing tools needed to monitor and manage chronic conditions and any medications.

Management of care transitions, such as referrals or discharges, ensuring timely information sharing with your primary provider and other healthcare professionals involved in your care.

Expert assistance in setting and achieving your health goals.

Continuous care through medication reconciliation and ensuring you have access to your medications, especially after transitions in care.

Coordination of care across your healthcare network, including pharmacies, specialists, testing centers, hospitals, and more.

Regular phone check-ins to keep you on track.

REMOTE PATIENT MONITORING (RPM)

Remote Patient Monitoring (RPM) is an innovative healthcare delivery method that allows Stella Healthcare to monitor your health and medical data in real-time, without the need for you to physically visit a healthcare facility. If you’re managing chronic conditions, post-discharge recovery, or even looking to maintain optimal health, RPM offers a convenient, efficient, and effective way to stay connected with your healthcare team.

Receive state-of-the-art health monitoring devices that seamlessly transmit your vitals to your healthcare team.

Our healthcare professionals continuously analyze your health data, ensuring any signs of concern are addressed promptly.

Based on the insights gathered through RPM, we tailor your care plan to suit your evolving health needs.

Easily communicate with your healthcare team for advice, updates, or to adjust your care plan, all through secure digital platforms.

Gain access to educational resources and support to better understand and manage your health condition, enhancing your ability to maintain optimal health.

Early detection of potential health issues through RPM can lead to prompt interventions, preventing emergency situations and hospital readmissions.