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BRIDGING THE GAP BETWEEN HOSPITAL AND HOME

POST DISCHARGE CARE

Transitional Care Management

ONclick Healthcare bridges the gap between hospital discharge and recovery at home through coordinated telehealth services, personalized care plans, and continuous monitoring designed to reduce hospital readmissions.

Care Coordination

Our care coordinators manage appointments, medications, and communication between patients and healthcare providers.

Telehealth Support

Patients stay connected with care coordinators through secure telehealth follow up and guidance from home.

Personalized Care Plans

Individual recovery plans help patients understand medications, appointments, and next steps after leaving the hospital.

Ongoing Patient Monitoring

Continuous monitoring helps identify issues early and prevent avoidable hospital readmissions.

HOW IT WORKS

Our care coordination process begins immediately after hospital discharge and supports patients throughout their recovery at home.

01

ENROLLMENT

Patients are enrolled in the program at the time of hospital discharge.

03

CARE COORDINATION

Appointments, medications, and physician communication are coordinated through ongoing telehealth support.

02

INITIAL OUTREACH

A care coordinator contacts the patient within 24–48 hours to review discharge instructions and next steps.

04

ONGOING MONITORING

Patients receive continuous follow up and monitoring to support recovery during the transition home.

IMPROVING PATIENT RECOVERY

Structured follow up care after hospital discharge helps patients stay connected with their care team and recover safely at home. Coordinated communication, telehealth support, and personalized care planning ensure patients receive the guidance they need during recovery.

National readmission rate

0 %

ONclick readmission rate

0 %

Patient Support

0 Hour

Lower readmissions

0 %+

Dedicated Support After Discharge

Dedicated Care Coordinators

Each patient is supported by a dedicated care coordinator who helps manage appointments, medications, and follow up care after hospital discharge. Coordinators stay connected with patients and providers to ensure recovery plans are understood and properly followed at home.

24–48 Hour
Follow Up

A care coordinator contacts each patient within 24 to 48 hours after discharge to review instructions, medications, and next steps for recovery. This early outreach ensures patients understand their care plan and receive guidance during the critical transition from hospital to home.

Clinical Care Team

Nurse practitioners and care coordinators work directly with your hospital and primary care doctor to ensure your care remains coordinated and supportive after you return home.

Transportation Support

Care coordinators help patients arrange transportation to doctor visits and follow up appointments when needed.

Durable Medical Equipment

Assistance coordinating durable medical equipment to ensure patients have the tools they need for recovery at home.

Community Resources

Support accessing community resources that help patients manage daily needs during recovery after hospital discharge.

Language Support

Care coordinators help ensure patients receive guidance and communication in the language most comfortable for them.