Care Transitions
As a part of our ongoing commitment to improve health and quality of life for the local community, we created our Care Transitions program. The program is designed to assist you or a loved one during the critical period following hospital discharge.
The Importance of Care Transitions
The Centers for Medicare and Medicaid Services (CMS) reports that approximately one in five patients who are discharged from the acute care hospital will be readmitted within the first 30 days following the initial admission. These readmissions are often preventable and are sometimes a result of confusion over medications and how to take them, a lack of education about the cause of the initial admission and awareness of what could cause a readmission and/or a lack of timely follow up with a primary care physician or specialist in the community.
About the Care Transitions Program
Care Transitions is an evidence-based program that focuses on helping reduce preventable readmissions by providing you with the knowledge, confidence and ability to self-manage your health condition. Care Transitions nurses follow, educate and support individuals for 30 days following their hospital discharge. Once you’re back in your home, you can expect a nurse to conduct a home visit and to provide weekly phone calls to help you address any challenges you may encounter as you begin to self-manage your health condition and, in turn, reduce your chances of being readmitted to the hospital.
About the Care Transitions Program
When you’re a part of our Care Transitions program, you won’t feel like a number. You’ll receive personalized care tailored to your exact needs. Some of the most common services provided by Care Transitions include the following:
- Reviewing your medication regimen
- Educating you on your health condition and potential “red flags” for readmission
- Ensuring timely physician follow-up care
- Connecting you with helpful community resources
Meet Our Care Coordinators
Cami Spangler
RN Case Manager
Cami has over 25 yrs providing both inpatient and outpatient care to patients in the West Valley. She has experience in Cardiology, Oncology, Case management and Interventional Pulmonology with a focus on education and reduction in hospital readmissions.
Impact Stories
You’re not alone in your health journey. Meet some of the community members whose lives were forever impacted from participating in our health and wellness programs, classes and support groups.
Larry Randall
Larry shares his experience with the Sun Health Wellness Diabetes Self-Management program, including how it helped him lose over 50 pounds.
Shirley Frizell
When Shirley’s husband Bill was diagnosed with dementia and started to lose independence, she leaned on Sun Health’s Memory Care Navigator program.
Judi and Alan Hughes
Judi and Alan Hughes’ journey through the twists and turns of a dementia diagnosis is all too common. They share their experience with Sun Health’s Memory Care Navigator program.
Barbara Pigott
After Barbara’s husband Dave passed away in 2016, she felt profoundly numb. When she needed someone to turn to, she discovered a grief support group offered by Sun Health Wellness.
Ken Barberi and Mary Lou
When Mary Lou was diagnosed with dementia, Ken became her full-time caregiver. But he hasn’t been alone. Sun Health’s Memory Care Navigator program has been by his side through their journey.
Gina and Jim
When Gina’s husband was diagnosed with dementia, she turned to the Memory Care Navigator program. Now, Gina and Jim are traveling their new journey with a better sense of direction.
Jim and Maria Eagar
After 45 years of marriage, Jim and Maria Eagar had plenty of experience leaning on each other through life’s twists and turns—even through the difficult journey of Maria’s memory loss.
Lee Roach
After being diagnosed with diabetes, Lee enrolled in the Sun Health Wellness Diabetes Self-Management Education Program. She shares how it’s helped her turn her health and wellbeing around.
Wellness Advocates
Our Wellness Advocates are here to support you through your health journey.
