What Is Transitional Care? How Ares Advanced Practice Supports Your Recovery Journey
After a hospital stay, you’re eager to get back to normal life—but the journey from discharge to full recovery can be challenging without proper support. That’s where transitional care comes in.
At Ares Advanced Practice in Las Vegas, NV, we help bridge the gap between hospitalization and home life, ensuring your health remains stable and you avoid unnecessary readmissions.
In this post, we’ll explain what transitional care is, why it matters, and how Ares Advanced Practice tailors this service to help you heal faster and stay well.
What Is Transitional Care?
Transitional Care Management (TCM) is a coordinated approach to healthcare that helps patients recover safely and effectively after they’ve been discharged from a hospital, skilled nursing facility, or rehabilitation center.
According to the Centers for Medicare & Medicaid Services (CMS), TCM is designed to reduce the risk of hospital readmissions—which occur in roughly 20% of Medicare patients within 30 days of discharge.
Key Components of Transitional Care Include:
Post-discharge follow-ups (within 2–7 days)
Medication reconciliation
Coordination with specialists
Monitoring of recovery progress
Patient and caregiver education
Why Transitional Care Matters
The days and weeks after a hospital stay are critical. Without proper follow-up, patients are more likely to experience adverse events, such as medication errors, recurring symptoms, or complications from surgery.
A Few Surprising Stats:
Nearly 1 in 5 patients discharged from U.S. hospitals are readmitted within 30 days (Agency for Healthcare Research and Quality).
Preventable readmissions cost Medicare more than $17 billion each year.
Proper transitional care can reduce readmissions by up to 50%, especially when patients are monitored closely (The Joint Commission).
How Ares Advanced Practice Supports Your Recovery
At Ares Advanced Practice, we treat transitional care like a team effort. Our goal is to walk beside you as you shift from intensive care back to independent living—whether at home or in a long-term care facility.
Our Transitional Care Process Includes:
1. Post-Discharge Appointment (within 2–5 Days)
We’ll schedule your follow-up visit within a few days of hospital discharge. During this visit, we review your hospital records, assess your current condition, and confirm that you understand your discharge instructions.
👉 Early follow-ups are proven to reduce readmissions—especially in patients with conditions like heart failure or pneumonia
(National Library of Medicine)
2. Medication Reconciliation
Nearly 30% of hospital readmissions are due to medication errors or adverse drug interactions. At Ares Advanced Practice, we conduct a thorough medication review, comparing your hospital prescriptions with what you were previously taking.
Learn more about safe medication transitions from the NIH.
3. Coordination with Specialists
You may have been seen by a cardiologist, pulmonologist, or other specialists during your hospital stay. We act as your care quarterback, ensuring your care plan is aligned and your specialists receive accurate updates.
“Effective care coordination significantly improves recovery time and reduces duplicate testing.”
— American Academy of Family Physicians
4. In-Home Support and Mobile Visits
Some patients aren’t strong enough to visit the clinic. That’s why we offer in-home primary care services in Las Vegas, making recovery smoother and more comfortable for patients who need extra assistance.
Learn about the benefits of home-based transitional care and how it improves patient satisfaction and lowers costs.
5. Patient and Caregiver Education
One of the best ways to ensure safe recovery is through education. We explain your diagnosis, treatment plan, and any warning signs to watch for—so you and your family feel empowered and informed.
“Health literacy is one of the strongest predictors of positive health outcomes.”
— Health.gov
Who Benefits Most from Transitional Care?
Transitional care is valuable for anyone recently discharged, but it’s especially helpful for those managing:
Chronic illnesses (heart disease, COPD, diabetes)
Post-surgical recovery
Multiple medications
Cognitive impairments
Recent falls or fractures
If you or a loved one has been hospitalized recently, transitional care can help prevent setbacks and ensure you’re on the right path.
What Makes Ares Advanced Practice Different?
We pride ourselves on being:
🩺 Patient-Focused
We treat you like a person, not a number. Our team listens first, then acts.
📍 Locally Rooted
We serve Las Vegas residents with deep community ties and a reputation for compassionate care.
🚑 Flexible and Mobile
From in-office to at-home care, we adapt to your health and schedule needs.
📞 Always Accessible
Questions after your visit? We’re just a phone call or portal message away.
What Our Patients Say
“After being discharged from the hospital for pneumonia, Ares Advanced Practice called me the next day, visited me at home, and even followed up with my pulmonologist. I’ve never had care like this before.”
– Jennifer M., Las Vegas
“They helped my mom transition back to her senior apartment after rehab, and the support made all the difference.”
– Gregory S., Las Vegas
Helpful Transitional Care Resources
Want to learn more? Here are some top resources to explore:
Take the Next Step in Your Recovery with Ares Advanced Practice
Whether you’re transitioning from a hospital stay or supporting a loved one through recovery, Ares Advanced Practice is here to help.
📍 Address: 5660 W Flamingo Rd, Suite B, Las Vegas, NV 89103
📞 Call Us: (702) 890-8147
🌐 Website: https://www.aapractice.net
📅 Book an Appointment: Schedule Now
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