Connect
Schedule an appropriate visit or call the office to confirm the service and appointment needs.
Care programs · Charlotte, Michigan
Transitional Care Management
Transitional Care Management, or TCM, helps eligible patients move from a hospital or other qualifying facility back into the community. It connects discharge information with primary care through communication, medication review, and coordination of the next steps.
Your care, in context.Individual assessment. Clear next steps. Connected follow-up.
01
About this service
What your care may include.
The scope of transitional care management is guided by your clinical needs and the information reviewed at your visit. The following areas can form part of the conversation or care plan when appropriate.
- Timely post-discharge communication
- Discharge-instruction and medication review
- Primary-care and specialist coordination
- Pending-test and community-resource review
Important expectations
Program eligibility and timing must be assessed. If symptoms worsen or an emergency develops, seek emergency care rather than waiting for follow-up.
02
Before you visit
A clearer start to your care.
Contact the office promptly after discharge. Bring discharge paperwork, your updated medication list, and details of home-health or specialist plans.
When arranging care, ask the office about availability, appointment type, required records, costs, and any insurance questions. Do not change medication or begin special test preparation unless your clinician instructs you to do so.
Ask the office about this service03
Your care path
Know what happens next.
Prepare
Bring relevant records and follow the specific instructions provided by the office.
Review
Discuss your history, concerns, and options with the clinician before a care decision.
Follow through
Review results and arrange recommended follow-up or outside care when needed.
04
Common questions
Plan with confidence.
How should I prepare for transitional care management?
Contact the office promptly after discharge. Bring discharge paperwork, your updated medication list, and details of home-health or specialist plans.
What should I confirm before arranging this service?
Program eligibility and timing must be assessed. If symptoms worsen or an emergency develops, seek emergency care rather than waiting for follow-up.
Call the office to confirm availability and any visit-specific requirements. Coverage and out-of-pocket costs depend on the service and your circumstances; no coverage is guaranteed by this page.
Care close to home
Let’s find your next step.
Services depend on individual clinical need, medical necessity, provider assessment, eligibility, and availability. This information is educational and is not individualized medical advice. For a medical emergency, call 911. Do not use online scheduling or routine callbacks for emergency care.