Discharge day is often a moment of relief—but it can also be the beginning of confusion, stress, and medical setbacks. Many patients leave the hospital with new diagnoses, unfamiliar medications, and instructions that are hard to follow without support. Unfortunately, these gaps can lead to complications and, too often, readmissions.
At VirtuMedex, we specialize in Virtual Transitional Care Management (TCM)—a service designed to bridge the gap between hospital discharge and a successful recovery at home.
Transitional Care Management covers the 30-day period after a patient leaves the hospital, skilled nursing facility, or rehab. It includes medication reconciliation, patient education, follow-up care coordination, and symptom monitoring. The goal: to prevent unnecessary ER visits and hospital readmissions.
We offer seamless virtual follow-up within 48 hours of discharge. Patients meet with one of our dedicated physicians, such as Dr. Spencer or Dr. Soliman, to review their medications, address symptoms, and answer any questions.
Our nurses then continue monitoring the patient through phone and video check-ins, helping ensure:
Families—especially those living out of state—appreciate the peace of mind of knowing their loved ones have clinical support at home. Our team shares updates with the patient’s primary care provider and any involved home care agency, ensuring that care stays coordinated and proactive.
Without structured follow-up, up to 1 in 5 patients end up back in the hospital within 30 days. Our virtual TCM program helps reduce those odds by catching complications early and closing the loop on care.
Hospitals and rehab facilities benefit too: fewer readmissions mean better performance metrics and cost savings across the board.
Let VirtuMedex be your partner in recovery.
With our virtual TCM services, patients don’t just go home—they stay home, safely and confidently.