WHEN YOUR FACILITY DISCHARGE IS FIRST DISCUSSED, CALL US!
We have provided Mobile community health care in Shelby County since 2013. We will continue to provide individualized health care to our elderly, disable and individuals in the community with complex chronic health issues with difficulty leaving the home and otherwise would not see a provider for health care due to physical and/or mental challenges.
We are achieving great results in the community by offering Mobile Home based Primary Care, Chronic Illness Management, Preventive Care, and short-term episodic care (Transitional Care Management). In addition we draw or coordinate mobile lab collection. Our goal is to help our clients avoid the avoidable emergency room visit/hospital readmission. We pride ourselves on transparency, personalized care and striving for the best client outcome.
It is a fact that hospital DISCHARGE starts on admission, and you are leaving the hospital sooner than expected. You are discharged but your care needs are not over!
Community Transition Nurse (CTN) Mobile Home Base Medical Health Care is owned by Advanced Licensed Nurse Practitioner(s), Registered Nurses, Certified Case Manager, and Medical Social Worker. We have over 40 years of combined experience working in Hospitals, Emergency Rooms, Home Health, Nursing Homes, and Rehabs. With our background we have seen patients discharge from health care facility over and over again, only to see some readmitted over and over again. The readmit reason may vary, but we have found that some are avoidable.
Our team joined together to utilized our experience in the community to work with patients and families with challenges getting to a health care provider. CTN provides non-urgent Mobile Health Care in the community, we bring the clinic to you. In addition our experience staff help patients and families navigate the health care system. We strive to educate and empower for self-care management. Studies have shown that understanding your diagnosis, medications and the importance of compliance can help avoid emergency room visits, hospital readmission and lower health care cost.
Our Mission
Our Mission is to reduce avoidable, unnecessary hospital readmission by improving CONTINUITY of your discharge plan from the hospital bed to the next level of care through helping to connect the pieces BEFORE, DURING, and AFTER discharge.
With efficiency and effective communication, we strive to lessen your confusion and frustration after discharge and advocate for you and provide quality service.
If you want to know more about Community Transition Nurse Care Manager LLC, give us a call at 901-869-5744 / 901-550-1486 or send an email to communitytransitionnurse@gmail.com.
For a safe and convenient transition process, we urge you to get in touch with us today!