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Discharge Transitions Program

Your partner in recovery

Ensuring a safe and smooth transition home after hospitalization, with personalized care and ongoing support to keep you on the path to better health.

What the program provides

ISHI’s discharge transitions program ensures close follow-up during the critical post-hospital period, providing patients with personalized care and support. Care teams receive timely updates and actionable insights to better manage patient recovery, while healthcare administrators benefit from improved care coordination, optimized resource use, and enhanced patient experience.

The patient sits at the centre of post-hospital recovery, supported by the ISHI care team of physicians, nurse practitioners, pharmacists and nurses alongside the practice's own primary care physicians. Together they provide:
  • Seamless transition from hospital to home
  • Continuous monitoring
  • Personalized care plans
  • Early follow-up engagement
  • Enhanced recovery experience
  • Collaboration with healthcare team

We’d love to hear from you

Connect with us to learn how ISHI’s discharge transitions program can enhance patient recovery and streamline care coordination for your team.

Contact ISHI