Transitional Care Management
T
Courtesy Grayson Home Health
Transitional care management, one of Grayson Home Health’s newest services, eases the
patient’s transition from a medical facility to
the home, creating a dialogue between physicians and Grayson Home Health. This process
ensures patients will receive the best possible
treatment after leaving the hospital, and provides greater transparency and consistency of
Kelly and Debbie
care to reduce both ER admissions and readmissions to a facility in the beginning days of transitioning back
A study conducted by Dr. Deborah Burchfield, DNP, FNP-C, found into the community.
telehealth monitoring used in conjunction with transitional care management programs from the hospital to a home health facility can As the only local home health provider with transitional care
drastically reduce potential hospital readmissions. Her dissertation, using advanced nurse practitioners, certified geriatric care
Transitional Care in Rural Community: The Effects on Reductions of Re- managers, and an in-house lab for quick and accurate results,
admissions, states the dangers of patients who are released from the Grayson Home Health offers comprehensive services with a
hospital without the benefits of transitional care. “Patients frequently do smile. Not only can patients take comfort in knowing Grayson
not understand their medication dosing or indications, and they are Home Health upholds the highest level of care and ethical
sent home with missing prescriptions or duplicate therapy due to com- standards, they can also rely on Grayson Home Health to help
plex medication dosing; they do not understand how to take care of them understand insurance options so they can make the most
themselves and monitor for exacerbation early to avoid readmission.” conscientious use of their benefits.
he face of health care is changing. Confronted with new legislation, changing technology, and a wealth of information on the Internet, patients are often put in a position where they
have to make difficult decisions regarding care
for themselves or loved ones. Many patients suffer
extreme financial burden due to the rising costs of
health care. These costs can be partly attributed
to avoidable hospital readmissions.
Grayson Home Health delivers comprehensive services with a gentle touch, a friendly smile, and in the respectful
manner patients deserve. Sherman native, Kelly Sexton, LVN, founded the award-winning Grayson Home Health in
2001 with a passion for kindhearted healthcare that she attributes to her mother. Now, she and Dr. Debbie Burchfield,
DNP, FNP-C, strive every day to uphold that legacy. By delivering care that exceeds both regulatory standards and
patient expectations, Grayson Home Health makes patients feel truly cared about.
Trust in our
Trust in our
care.
hearts.
Grayson Home Health goes beyond delivering
the highest quality home medical and supportive
services,