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Transitional Care Management

Hospital level care in the convenience of your home

Clinical Care Team + Home Care Teams + Home Visit = Improved Health + Reduced Hospitalisation

Safe & Smooth Transition from Hospital To Home

Care Team


Our Care Teams provide comprehensive, coordinated care to have a safe transition from hospital to home. They help patients achieve and maintain their maximum level of independence and wellbeing without suffering deterioration in health and readmissions. They do this by providing the appropriate education and skilled services, and coordinated care. We thus help empower patients to safely remain in their homes and are aware of what they need to do to keep out of the hospital.

After stabilization we enable patients to join the Chronic Care Management Program where they are managed and monitored proactively. See of Chronic Care programs.

Who Benefits from Home Care Services

Home care services are those patients having ongoing Medical Problems that require constant attention.

Does you / loved one have anyone of these conditions below?
Click each one of the conditions and see how you can benefit from the Managed Services at home.

Key Objective:
  • Help patients remain out of the hospital. To stabilize, educate both the attendants and patients about disease process and management.
  • Reduce / eliminate frequent trips to the Emergency Room and prevent avoidable readmissions.
  • Proactive training and education of the patient and kin.
  • Provide need-based extended care through Care teams (nurses, doctors, physiotherapists, dieticians, and health care aides)

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