TCM: Tracking Patients in Real Time for Better Care

Patients are most vulnerable when transitioning from an acute care setting back to their primary care provider and home. Reducing readmissions requires proactive management of patients — reconciling medications, ensuring the home setting is safe, and keeping in close contact with the patient. With Transition Care Management from eClinicalWorks, Adult Medicine of Lake County is tracking patients in real time, getting actionable data at the point of care, and lowering readmission rates.