TransitionWell, LLC

At TransitionWell, our mission is to specialize in facilitating seamless transitions from hospital to home through the evidence-based Care Transitions Intervention (CTI). Operating on a contracting model with Transitions Coaches®. TransitionWell will provide comprehensive administrative services, including training, evaluation, contracting with health systems and payors, and managing back-office work. Utilizing the Care Transitions Intervention® (CTI), our approach empowers clients to develop self-care skills and take an activated role in their health through a whole-person approach. Over a 30-day program, clients work with a dedicated Transitions Coach® to build and practice self-management skills crucial for a successful transition from hospital to home. The Transitions Coach® serves as a supportive guide, allowing clients to take control of their health journey. Together, they navigate through personal skill development, self-management tools, and gain confidence in four key areas of health, known as the Four Pillars® (medication management, primary care coordination, personal health record maintenance, and recognizing warning signs). One of the primary goals of our business is to reduce healthcare costs by minimizing hospital readmissions through effective care transitions. By empowering clients with the skills and confidence needed for self-care, we aim to enhance health outcomes while promoting cost savings for health systems and payors.