For Facilities

Post-Acute & Transitions of Care

The post-discharge period is critical. TogoHealth manages transitions of care to reduce readmissions, ensure medication safety, and provide continuity between hospital and home or facility.

What's Included

Comprehensive clinical support

  • Post-discharge follow-up within 48 hours
  • Comprehensive medication reconciliation
  • Wound care assessment and management
  • Vital sign monitoring and tracking
  • Readmission prevention protocols
  • PCP and specialist coordination
  • Patient and family education
  • Telehealth follow-up scheduling

How It Works

Getting started

1

Discharge Coordination

We coordinate with hospital discharge teams to ensure seamless handoffs.

2

Rapid Follow-Up

Our providers contact patients within 48 hours of discharge for assessment and medication review.

3

Ongoing Monitoring

Regular check-ins during the critical 30-day post-discharge window.

4

Outcome Tracking

We track readmission rates, patient satisfaction, and clinical outcomes.