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Program Spotlight: Transitions of Care
At Access Care Partners, ensuring a safe and supported journey back to community living is at the heart of our Transitions of Care services. Whether you're recovering from a hospital stay or looking to move from a nursing facility back home, we’re here to make the process smooth, empowering, and tailored to your needs.
Hospital to Home Program
In partnership with Holyoke Medical Center, our Hospital to Home program helps individuals move from hospital care to home-based recovery with confidence. Hospital Liaisons collaborate directly with your medical team to create a customized care plan before you leave the hospital. Services may include home care, personal assistance, transportation, and home-delivered meals.
Beyond discharge, our team provides ongoing support, helping to prevent readmissions by identifying potential health concerns early. It’s all about letting you focus on healing while we handle the details.
Community Transition Liaison Program (CTLP)
Do you have a loved one who wishes to leave a nursing facility and return to independent living? The Community Transition Liaison Program (CTLP) supports that goal.
Our CTLP team works closely with you to:
- Explore your readiness and interest in community living
- Develop a safe discharge plan
- Connect you with local programs and resources
- Advocate for your needs and address any challenges
Whether it’s navigating services or offering emotional and logistical support, we’re committed to helping you take the next step toward independence.
📞 Call us today to learn more or visit www.accesscarepartners.org to explore how our Transitions of Care team can support your recovery and return home.
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