Transitional Care

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AllianceHealth Madill offers inpatient skilled nursing care for patients who are discharged from the hospital, but are not yet ready to return home. The transitional care program offers short-term assistance (30 days or fewer) to help patients reach the highest level of functioning possible. Transitional care services include:

• 24-hour nursing care under the direction of a doctor.
• Physical and occupational therapies to improve overall functioning and mobility.
• Appropriate recreational, social and spiritual activities based on individual needs and interests.
• Recommendations and assistance with developing a post-discharge care plan to ensure continuity of care.

Transitional Care Admission Criteria

Ask your doctor if transitional care is appropriate for you. In order to receive transitional care, patients must:

• Have a doctor’s referral that prescribes a planned regimen of care based on immediate and long-term needs.
• Require skilled nursing care daily or rehabilitation services (physical, occupational or speech therapy) five days a week.
• (For Medicare recipients) Have a three-day medically necessary qualifying hospital stay.