What does the Transitional Care Model primarily aim to achieve?

The Transitional Care Model primarily aims to prevent readmissions and exacerbations by facilitating the transition of patients from one care setting to another, such as from hospital to home or from hospital to rehabilitation facilities. This model emphasizes coordinated care, patient education, and follow-up to ensure patients understand their treatment plans and are supported during their recovery. By reducing gaps in care, the model addresses the challenges patients face during transitions, which can often lead to confusion and result in complications that necessitate readmission. This proactive approach helps maintain continuity of care, ultimately improving patient outcomes and enhancing overall healthcare efficiency. While improving patient satisfaction, increasing physician efficiency, and enhancing healthcare technology use are important aspects of healthcare delivery, the core goal of the Transitional Care Model specifically targets reducing readmission rates and managing exacerbations of health conditions.