Geriatrics and Extended Care
VA Video: Home Based Transitional Care
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.
Return to videos on new VA home based care options