Transitional Care is intended to provide the right level of care for patients to support their move back to the community or to another level of care (such as high intensity rehabilitation). This model also supports individuals who no longer need acute care but who cannot go home.
Aimed at reducing the challenge of hallway medicine in acute care hospitals, Providence Care is embracing this new level of care to help frail older adults avoid being designated as needing an alternate level of care (ALC) for long-term care. It is designed to not only support flow with acute and sub-acute hospitals, but also to help these patients avoid an Emergency Department visit or admission.
Using the ‘assess and restore’ principles of convalescence, respite and restorative care, services in Providence Transitional Care Centre are designed to provide frail adults with an integrated approach to care, including a high level of activation throughout the day, more timely access to assessment, earlier identification of need, care navigation, respite and engagement with services and a variety of health care partners to optimize community reintegration.
Admission criteria
The following individuals will not be considered for admission:
- Patients with severe responsive behaviours
- Patients who fit the criteria for an acute care admission or admission to programs at Providence Care Hospital
- Patients already designated for admission to long-term care
To be considered for admission to PTCC, individuals must be able to:
- Participate in therapy
- Participate in dining activities
- Move independently (with or without devices)
Length of stay
Inpatients will have a length of stay of up to 60 to 90 days and have a known discharge location (typically home).
Our goal is to ensure patients are receiving “the right care in the right place,” according to their individual care needs. Once a patient no longer requires the level of care provided at Providence Transitional Care Centre, it is in his or her best interest to return home or to a more appropriate care setting. Planning for discharge starts as soon as a patient arrives, so that required care and services are in place after the hospital stay.
