EXPERTISE &
EXPERIENCE

The American Case Management Association is a committed leader in
educating and developing leading practices for Health Care Delivery System
Case Management and Transitions of Care Professionals.

Thought Leadership
ACMA included representation from 15 organizations across all sectors and settings that influence navigation of our healthcare system. Together, those experts identified the quality program metrics aligned to each Transitions of Care Standard with a set of consensus measures to help monitor process and outcomes associated with implementation of the Transitions of Care Standards. The TOC standards can be tested and measured to assist providers, payers and all healthcare organizations in establishing processes for seamless coordination across the entire continuum of care, with the goal of achieving the best health outcomes.

The Committee Ensured
the Standards are:

  • Realistic and forward-thinking
  • Able to be implemented across all care settings
  • Flexible enough to keep pace with rapidly
    evolving care delivery models
Executive Steering Committee

MEET Dr. Yasmeen Agha

Dr. Yasmeen Agha M.D. is a board-certified Family Medicine trained doctor in
San Antonio, TX, offering state-of-the-art care for patients with chronic
disease management, preventative medicine and diabetes medicine.
Dr. Agha earned her medical degree at the American University of Antigua,
completing her residency at University of Texas Health Science Center San
Antonio, TX. Dr. Agha and her team can provide personalized
comprehensive and accessible healthcare for her patients and prevention of
future hospital visits. On her spare time, Dr. Agha enjoys spending time with
her family, traveling and host gathering with her friends.

Care Settings & Professions Represented

Care in Transition
Personalized Coordinated Care to Help You Recover Safely

If you or a loved one is leaving the hospital soon, it’s important to know that the transition from
the hospital to home can be a challenging time. In fact, approximately 18%1 of patients that
discharge from a hospital setting are rehospitalized within 30days of discharge. That is where
Care in Transition (CIT) comes in. CIT provides evidencedbased Transitional Care
Management (TCM), a patient focused program that provides coordinated care and support to
patients who are transitioning from the hospital to home (or community setting).

What is Transitional care Management (TCM)
Transitional Care Management or TCM, is a preventive wellness initiative from Centers for
Medicare & Medicaid Services (CMS) designed to improve healthcare delivery during a patients
transition from inpatient care to a community setting over a 30day period post hospitalization.
Because this transition period from hospital to home can often be complicated, TCM is vital for
patients discharged from the hospital, especially those who are at a higher risk of complications,
such as those with chronic conditions or complex medical needs.

Goals of TCM
TCM aims to help you:

. Stay safe and stable at home to avoid unnecessary visits to the hospital;
. Set goals for your health;
.Prepare for routine visits to your primary care doctor;
. Answer questions and concerns you may have regarding your condition(s);
. Learn about your symptoms and how to treat them; and
. Teach you about your health condition and your medications

How Does TCM Work?
A Transitional Care Nurse Specialist will visit you at the hospital or at home to confirm
eligibility and explain the benefits of the program. Then a home nurse visit will be set up to
evaluate your needs.


1 Ottenbacher KJ, Karmarkar A, Graham JE, Kuo YF, Deutsch A, Reistetter TA, Al Snih S, Granger CV. Thirtyday
hospital readmission following discharge from postacute rehabilitation in feeforservice Medicare patients. JAMA.
2014 Feb 12;311(6):60414. doi: 10.1001/jama.2014.8. PMID: 24519300; PMCID: PMC4085109.

Eligibility

To be eligible for TCM, you must meet the following criteria:

You are leaving the hospital and going home or to a nursing facility, or to a community
based residential setting;
You require medical care and followup within 7 or 14 days of your discharge, depending
on your medical condition(s); and
You are enrolled in Medicare Part B

If you meet eligibility for TCM services, you may receive:

An initial contact with you within 2 business days of your discharge from the hospital;
Medical decisionmaking of moderate or high complexity during the transition period;
Facetoface visits with you within 7 or 14 days of discharge; and
Nonfacetoface services, such as care coordination and medication management

Care In Transition (CIT)

CIT is an evidencedbased personalized transitional and chronic care management physician
driven service. Based in San Antonio, CIT provides rehospitalization prevention and primary
care support for patients who have recently been discharged from the hospital or other facilities
as qualified by the CMS to ensure there are no gaps in patient care.