TCM: Transitions of Care Management Solutions for Post Acute Care Facilities


PharmD Live offers Transitions of Care Management (TCM) solutions that help patients make more successful moves from hospital to post acute care facilities (PAC)

Errors in medication management lead to almost 1.5 million avoidable adverse drug events (ADEs) a year at a cost of more than $3 billion. The Center for Disease Control (CDC) reports that three out of four American residents age 65 and older are taking multiple medications due to multiple chronic conditions.

Seven out of 10 patients experience a medication error at hospital or PAC admission, or at discharge, and one out of every three of these errors can be harmful to the patient. Patients with complicated medication regimens, numerous medical conditions, and poor social support are at greater risk of treatment problems during care transitions.

In addition, 18 to 20 percent of Medicare patients are readmitted within 30 days of hospital discharge. Of these readmitted patients, 50 percent are never seen by a subsequent provider in the time between discharge and readmission. Medicare reimbursement for unplanned readmission costs an average of $7,200 per patient.

Coverage from PAC patients

PharmD Live Transitions of Care Management (TCM) solutions start with patient consultations upon discharge to the PAC setting, and then continue to home. Our collaborative solutions help patients and providers circumvent medication-related problems during the transition by streamlining medication lists and through the use of PharmD Live innovative technology tool.

PharmD Live team-based TCM solutions:

  • Reduce PAC hospital readmission rates
  • Lower healthcare costs
  • Improve patient recovery outcomes

TCM Has Never Been More Important

Healthcare today is complex. Success requires a value-based care approach with better-informed patients who are motivated to partner with caregivers in their own care program. With the new Readmissions Reduction Program (HRRP) by The Affordable Care Act, post acute care facilities (PACs) and hospitals with relatively high rates of Medicare readmissions can now be fined for readmissions within 30 days of discharge for the following conditions: heart failure (HF), acute myocardial infarction (AMI), and pneumonia (PN), chronic obstructive pulmonary disease (COPD), and total hip arthroplasty/total knee arthroplasty (THA/TKA).

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