Population Health

We have a dedicated Transition of Care team responsible for coordinating patient care across different healthcare settings, including hospitals, skilled nursing facilities, and other rehabilitation facilities. Patients can be assured that their Primary Care Physician (PCP) is notified by Cape Cod Healthcare when they have been hospitalized. Preventing avoidable readmission to the hospital requires a collaborative team approach. The transitional team works with the patient, the PCP, specialists and hospital systems to promote safer, more effective care.

To aid in the safe transition home, all patients are encouraged to see their PCP within 48 hours of a hospital discharge.