Transitions of Care

Paving the Way to Success…

Sandra Anderson, from Frankfort, is getting some last minute instructions before heading home after knee replacement surgery at EMMC. Supporting patients during their discharge from an EMHS hospital is the job of Transitions of Care nurses, like Debbie Grover. Their goal is to make sure our patients have what they need to leave the hospital and are successful get back on their feet. Transitions of care nurses work directly with the hospital doctors and nurses while keeping the patients primary care team in the loop. “The entire experience has been wonderful, I feel very supported,” smiles Sandra.

“We know this approach works and people aren’t falling through the cracks. We can make sure they have the support they need to leave the hospital safely and then we can make sure their recovery goes well and answer any questions they might have or address any concerns,” shares Debbie.