Transitional Care Services
{"Image DocumentName": "Transitional Care Services", "Image ImageDescription": "Identify population \u2013 use electronic health records. Engage client \u2013 access to housing areas. Conduct assessment \u2013 universal tool. Screen for Benefits \u2013 DSS is a partner. Arrange discharge medications \u2013 7 days + Rx. Coordinate post-release plan \u2013 Primary care, social service orgs, Courts, attorneys, treatment providers. Facilitate continuity of care. Aftercare letters / transfer medical information using RHIOs. Make appointments / walk-in arrangements. Arrange transportation / accompaniment.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}