Mason Health Launches Transitional Care Program

When patients need care, Mason Health is here for them. Through the District’s Transitional Care Program, Mason General Hospital in-patients who still need service after a hospital stay, such as physical therapy or wound care, are able to stay and receive their needed care. Mason Health maintains excellent partnerships with local and regional skilled nursing facilities, and is not in competition with these facilities. Mason Health works with patients to discharge them to their home or a skilled nursing facility when appropriate. 

One example of a patient who would benefit from transitional care with Mason Health is someone with a broken hip that requires surgery, but who also needs physical therapy and frequent IV medications. Mason General Hospital is able to provide all necessary services with 24/7 access to our medical team and therapy available 7 days a week. 

Mason Health’s Physical Therapy team includes, from left, Physical Therapist Technician Cynthia Morrow, Rehab Services Director Cheryl Woods and Licensed Physical Therapist Aide Diana Franckowiak.

“We are already seeing many patients in this situation and situations even more complex who have nowhere else to go,” said Mason Health Director of Acute Care Services Rob Bennington. “They sometimes stay with us for weeks or even months. That is the primary reason why Mason Health has decided to pursue a Transitional Care Program.”

Medicare plans no longer cover a patient’s hospital stay once their acute care needs have been met. Mason Health is pursuing transitional care certification this month so that Mason General Hospital can be reimbursed by Medicare for these services.

Michele Rose, RN, and Bronwyn Kennedy, RN, are Wound/Ostomy Care Certified Nurses who work closely with Transitional Care patients in need of their services.

Most stays in Transitional Care are a few days to a few weeks, however, some patients may stay for up to 100 days. If they are able, patients often leave their rooms, wear their own clothes and enjoy other activities that provide a more inviting experience than a traditional hospital stay.

Providers at Mason Health work closely with patients and their families to determine whether the Transitional Care Program is the right option. With on-site lab, radiology and immediate access to physicians, nurses, therapists and other caregivers, Mason Health delivers safe, high-quality and flexible Transitional Care. When individuals are ready to return home, Mason Health can also help arrange for Home Care services.

From left, Dietitians Breann Hogie and Sarah Fulkerson are available to meet with patients in the Transitional Care Program.

Mason General Hospital’s on-site services include:

•          Skilled nursing care 24 hours a day

•          Physical, occupational and speech therapy

•          IV therapy

•          Inpatient pharmacy services

•          Respiratory Therapy

•          Diagnostic Imaging

•          Wound care (including weekly consultations (with Wound/Ostomy Care Certified Nurse)

•          Total Parenteral Nutrition (TPN) – IV Nutrition

•          Registered Dietitian

•          Enteral Tube Feedings

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