812 Gorman Avenue, 1-100

Phone: 304.637.3520
Fax: 304.630.3067

After Hours & Weekends:
888.477.6895

Email: tc@dhswv.com

 

Transitional Care
works closely with:

Case Management
Social Services
Physical Therapy
Home Health
Nursing
Respiratory Therapy
Speech/Occupational Therapy
Home/Nursing Care
Nutritional Services
Pharmacy Services
Other Local Resources

 

Caring for You after Discharge

 

What is Transitional Care?

Transitional care is a program designed to help eliminate gaps in care from hospital to home. This is an actively managed medical program designed for you prior to leaving the hospital.It gives you 24/7 access to a health care provider for any medical problem you have for 30 days post discharge.

Benefits of the program:

  • 24/7 access to the hospitalist team.
  • Eliminate “gaps” in your care.
  • Not feeling well? Call us we will try to help (calls answered by one of the hospitalist providers 24/7).
  • Coordinate care with your primary care provider.
  • Answer questions you may have about your care.
  • Help you manage your medications.
  • Need medical equipment to make your life easier? We can arrange that as well.
  • Referral to specialists as needed.
  • Follow up visit with one of our health care providers within one week of discharge.
  • Provider contact within 2 business days of discharge.
  • Individualized follow up testing and results management.
  • Give you the support you need to optimize your medical care.

 

TRANSITIONAL
CARE TEAM


James Gainer, MD
Program Director


Phillips Chua, DO


Joel Hummer, MD


Steven Toney, MD


Donald Sizemore, DO


Earlene England, FNP


Dan Stalnaker, PA-C