SpiriTransition®
Coordinated Care After Hospital Discharge
Whether a hospital stay for surgery, illness or injury was planned or not, it can be a stressful time for the patient as well as family members. The SpiriTransition program can help you navigate the system and make a smooth transition out of the hospital to return home safely, confidently and independently, and back to everyday activities.
Speed Your Recovery with
Care Focused on You
Through the SpiriTransition program, team members from Concordia at SpiriTrust work together to improve care coordination for all the services you need to return home for a successful recovery – from the notice of hospital discharge to the Concordia at SpiriTrust Long-Term Nursing and Short-Term Rehabilation Facility of your choice to a Home Care partner of your choice. This program has helped Concordia at SpiriTrust rank among the highest-rated skilled care centers for maintaining low re-admission rates.
Choose a Concordia at SpiriTrust Long-Term Nursing Care Facility at one of these communities:
An Experienced Team
The experienced team members of this program include social workers and registered nurse liaisons, who coordinate and provide oversight for discharge to home. This coordination helps to eliminate gaps in needed care and services, reducing frustration and confusion for you and your family members.
Trying to coordinate care for yourself or a loved one who is hospitalized or planning for a surgery?
Let a Concordia at SpiriTrust Long-Term Nursing Care Facility know of your choice or tell your hospital discharge planner of your desire to utilize the SpiriTransition program, and we’ll take care of the rest. Contact us at one of our communities below:
