Transitional Care Specialists

There are countless risks for re-admission, inefficiencies, and other setbacks in the pursuit of an improved patient experience. Our team of providers take pride in on our approach to transition of care. We offer a skilled physician solution designed to complete the continuum of care after an acute medical stay.

Spanning the care continuum, Inpatient Specialists Group serves:

• Hospitals
• MD groups
• Home health
• SNFs/LTACs
• Health plans
• ACOs
• Care management companies
• Bundled payment conveners

We are dedicated to promoting the safe and timely passage of patient care plan requests across all levels of health care – for enhanced patient experience, compliance, and accountability.

Our Process

1. Based on the health care organization’s rules, we use feedback received from network clinicians to adjust a patient’s care plan accordingly.
2. Update the patient’s episode record.
3. Triggers care manager intervention and appropriate responses when needed.
4. Abiding to interoperability standards inherent in every certified electronic health record (EHR), ISG Medical can streamline coordination and share clinical information required for effective care. transitions.

How it Helps

• Full visibility into the compliance of a patient’s post-discharge care plan through the duration of care.
• Certainty of care plan compliance, even for a period after leaving the hospital.
• Streamlines sharing of clinical information.
• Diverse payment options.
• Improved patient engagement.
• Incremental revenue from Transitional Care Management (TCM) visits.
• Lower rate of re-admissions.