Transitional Care

We ensure the seamless continuity of care for patients as they move from our hospital to various community settings.​

​About Us​​​​

We are committed to ensuring seamless continuity of care for patients as they move from our hospital to various community settings, including their own homes, nursing homes, and beyond.

 

​This is achieved through a collaborative and multi-disciplinary team consisting of doctors, nurses, allied health professionals, medical social workers, pharmacists, virtual care specialists, and administrative staff.

Our Services

Transitional Care supports an array of services carefully designed to deliver secure and prompt interventions. Working hand in hand with our community nurses and allied health teams, we provide comprehensive medical and nursing care, physical therapy, psychosocial support, and case management.​​ 

 

Our commitment extends to providing patients with a range of seamless, responsive, and high-quality care options beyond the hospital, addressing their multiple co-morbidities or complex medical/nursing care needs.

 

​The focus is on a comprehensive approach, encompassing clinical assessment, treatment, nursing procedures, rehabilitation, medication management, patient and caregiver education, psychosocial support, follow-up care, and meticulous care coordination. ​​​This approach significantly reduces the risk of complications, unplanned readmissions, and unnecessary emergency department visits.​