What is a Transitions of Care Appointment?

A transitions of care appointment is a follow-up visit after leaving the emergency room or after a hospital stay. Your doctor coordinates your care based on your needs and acts as a bridge between your hospital care team and your long-term care team.  Transitions of care appointments can help reduce your risk of another trip to the hospital or emergency room and empower you with the knowledge and resources to manage your chronic conditions.

What should I expect at my appointment?

This appointment is like a regular doctor’s visit. Your medical provider conducts a thorough review of your health, which includes reviewing your:

• Discharge instructions from your recent hospital visit
• Medications and any adjustments from your hospital stay
• Your chronic health conditions and plan for ongoing treatment

Your provider may create a personalized care plan for you that can include:

• Medication management
• Follow-up appointments
• Specialist referrals and care coordination
• Education on disease management
• Lifestyle changes

What should I bring to my visit?

To help your physician understand your full health history, we encourage you to bring:

• Discharge paperwork from the hospital
• Your current medications and allergies
• A list of other physicians or specialists you see

What conditions can I be seen for at a transitions of care visit?

Transitions of care appointments are typically recommended as a follow-up for patients who are considered “high-risk” for further complications and who may have the following conditions:

• Heart conditions like a heart attack or congestive heart failure
• Respiratory conditions
• Neurological conditions
• Orthopedic injuries
• Gastrointestinal conditions
• Endocrine conditions
• Renal conditions
• Geriatric injuries and conditions
• Other conditions or injuries as determined by your hospital physician

Schedule a Transitions of Care Appointment

Click below to schedule an appointment at our clinic in The Woodlands, TX.