Support during your transition from hospital to home
Sun Health, as part of our ongoing commitment to improve health and quality of life for West Valley residents, has created a Care Transitions program (SHCT) to assist you during the critical period following your hospital discharge. The Centers for Medicare and Medicaid Services (CMS) finds that approximately one in five patients who are discharged from the acute care hospital will be readmitted within the first 30 days following the initial admission. These readmissions are often preventable and are sometimes a result of confusion over medications and how to take them; lack of education about the cause of the initial admission and awareness of what could cause a readmission; and/or lack of timely follow up with a primary care physician or specialist in the community.
Care Transitions is an evidence-based program that focuses on helping patients to self-manage their health conditions and break the cycle of readmissions by improving the patient’s confidence. Patients who are hospitalized with heart failure, heart attack, pneumonia, chronic obstructive pulmonary disease and diabetes are some of the qualifying diagnoses due to their high risk for readmission.
Services provided by Sun Health Care Transitions include: reviewing patient’s medication regimen, educating patients on their conditions and potential “red flags”, ensuring timely physician follow-up care and connecting patients with helpful community resources.