Transitional Care Management

Connect with patients post discharge to drive revenue and reduce readmissions

Drive revenue and quality by increasing the number of completed transitional care management phone calls post-discharge, ultimately improving transitions and outcomes, and reducing readmissions.



increase in number of TCM calls completed year over year



increase In call to visit conversions
year over year
*Results experienced by some CarePort customers
Overview : Transitional Care Management

Instantly identify patients discharged from all levels of
care – acute or post-acute – to establish interactive contact within 24-48 hours.

  • Create daily worklists of patient discharges for follow-up, including acute discharges outside of your own system
  • Engage patients to provide medication reconciliation services promptly upon discharge
  • Drive office visits through increased post-discharge phone calls

Overall benefits:

CarePort’s Product Suite




Care Management


Referral Management

CarePort Guide

Guide patient decision-making during discharge and increase referrals to top-performing providers

CarePort Connect

Track and manage patients across the continuum to improve outcomes and spend

CarePort Insight

Assess outcomes using objective, real-time and automated reporting

CarePort Care Management

Power care transitions through a robust post-acute network and streamlined care management workflows

CarePort Transition

Create, manage and send post-acute referrals embedded directly within your EHR

CarePort Referral Management

Receive, respond and review all patient referral activity in a single electronic system

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See how CarePort’s solutions would work in your organization.