What is a Transitional Care Program?
The Transitional Care Program at Plumas District Hospital enables you to recover from a surgery, illness or injury in a hospital setting – near family and friends, until you reach an optimal level of strength and wellness to return home. Plumas District Hospital helps patients achieve this goal through hospital-based skilled nursing care and rehabilitation services.
In Transitional Care, you have access to a comprehensive set of quality services, depending on your needs, including:
- Need to heal and regain strength through physical, occupational and speech therapies to aid in a safe return home or to other living arrangements, after an acute medical or surgical stay
- Orthopedic rehabilitation after any surgery
- IV treatments
- Wound Care
- Coordination of care and services before your return home
Frequently Asked Questions
- What can I expect in a Transitional Care Program?
- When should I consider a Transitional Care Program?
- Will my Insurance or Medicare pay for Transitional Care Program?
- Can I take advantage of Plumas District Hospital’s Transitional Care Program even if I'm at a different hospital?
- How long can I stay in a Transitional Care program?
- Who do I call for more information about this program?
Once you are in the program, A Physician and Nurse Practitioner directs your care and works closely with our team of nurses, therapists, nursing assistants, registered dietitians, cardiopulmonary therapists, and nurse case manager/discharge planner. Our team will work with you to achieve your goals to return home. Your length of stay will vary on your need and plan of care, set with you, by your team. An average stay in Transitional Care is between 1 and 2 weeks.
If you find yourself needing time to recover from a surgery, illness or injury, our Transitional Care Program allows you to recover in a hospital setting, with daily access to medical care, skilled nursing care, and/or skilled rehabilitation. We provide Transitional Care at our main Hospital campus in Quincy, California.
Medicare covers Transitional Care Program if you have a three-day qualifying stay as an inpatient and require the services of either skilled nursing care and/or fall within rehabilitation guidelines. Commercial Insurances may offer a skilled care and rehabilitation benefit covering Swing Bed. Paying privately for Swing Bed Care is an option as well. We can help with benefit and coverage questions. http://www.pdh.org/patients/financial-assistance
Absolutely. To ensure you can be closer to home for care and rehabilitation, communicate with your physician, nurses, and discharge planner about your wish to use Plumas District Hospital’s Transitional Care Program. Ask your hospital’s discharge planners to contact PDH’s Transitional Care Coordinator. 530.283.7102 Fax 530.283.7946
Generally, you can stay in a Transitional Care Program as long as you are making measurable progress as determined by rehabilitation services, nursing, and the physician. You could be in the program for as little as three days, or up to 100 days. After you have reached your goals, Medicare will no longer fund your stay in a Transitional Care Program. Before choosing a facility for Transitional Care, contact the facility to determine if your insurance is contracted; what specific services they offer; and if the facility can meet the needs of the patient or loved one.
Contact our Transitional Care Coordinator at 530.283.7102