Where the Need is Greatest – Transition of Care Management - Ascension Wisconsin

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Published on November 25, 2015

Where the Need is Greatest – Transition of Care Management

Exam RoomThe Transition of Care Management (TCM) program at Wheaton Franciscan - St. Joseph Campus is truly changing the way we approach care. TCM employs a team of associates who work together to provide education, outreach and follow-up care to patients entering the Emergency Department. These patients may or may not have health insurance. What they do have in common is that they do not have a primary care physician. The goal is to set up a medical home and to help patients understand not only the necessity of a primary care provider but also when to appropriately use the Emergency Department.

This past year, the TCM program had 3,925 patient encounters and scheduled 2,063 follow up appointments. Most importantly, an impressive 48 percent of patients kept their appointments. The Emergency Department at St. Joseph Campus remains Milwaukee's safety net for serving people who not only have emergent medical needs but chronic conditions such as high blood pressure, asthma and diabetes. By establishing these patients with a primary care doctor, we are creating a medical home for patients which reduces emergency visits, creates stability in patients' lives, and most importantly, provides an optimal level of care for chronic, non-emergent conditions.

With your support of this program, we know we will continue to realize tremendous results. For more information about the program, please call the Foundation at 414-447-2188 or give online today.

Where the Need is Greatest – Transition of Care Management