The Home-based Transitional Care Program significantly reduces readmission rates especially within 14 days of hospitalization. Within 4 days of a hospital discharge, a nurse and a therapist will do an in-home evaluation and assessment. The nurse specifically will focus on the hospital discharge plan of care with the patient and with caregiver.
Veterans Crisis Line:
1-800-273-8255 (Press 1)
U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420
Last updated March 17, 2014