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Transitional Care Program

Missouri Baptist Sullivan Hospital offers transitional care services to its patients. While we still care for the traditional rehab or “swing” patient, our staff has been specially trained to care for the more complex rehab patient as well.

Transitional care is for patients who no longer need acute care, but are not ready to return to their previous living arrangements.  This may happen for various reasons, such as the patient needs:

  • additional physical therapy,
  • wound care,
  • IV antibiotics, or
  • other types of medically complex skilled care.

Our goal is to help patients recover from their surgery or illness and help them to regain their independence.  With tailored, specialized care, we are able to help you achieve your discharge goals faster than a typical skilled nursing facility or nursing home.

Qualifications for transitional care

If you are a Medicare participant or have a commercial insurance that covers a swing benefit, you would need to have a consecutive, 3-day acute care stay as an inpatient before you could qualify for transitional care days.  You also will need to meet some type of skilled nursing or rehabilitation need. Types of skilled care are listed above.  Medicare part A will cover 100% of the first 20 days of transitional care.  If your care should extend past 20 days, you will be responsible for a copay amount.

If you have any concern about returning home due to weakness or continued care after discharge, you may want to speak with your nurse or physician regarding swing care.  Even if you have your hospitalization or surgery at another facility, you can request your case management or social worker contact our Transitional Care Coordinator to arrange transfer to our facility.

Being close to your family and friends is not only more convenient for everyone, but key to your recovery.  Our contact numbers are listed below. Our qualified case management will be happy to work with you and your physician to determine the best plan for you at discharge.

Benefits of our program

You will experience low nurse to patient ratio and staff that has been extensively trained and educated specifically for transitional care.  Our support services include in-house physicians, lab, radiology and specialists.  You also will have a specialized team tailored to meet your rehabilitation needs.

Visiting hours

There are no definitive visiting hours for transitional care patients.  For respect of space, we do prefer only one person to stay overnight.

Activities

Our facility is equipped with free Wi-Fi service and cable television in each room.  Each room has its own private bathroom. To help you enjoy your time, we have crafts available as well as books and magazines.  You are also welcome to bring things from home that make you feel comfortable and to wear your own clothing.  You will be free to visit our cafeteria and outdoor patio if you feel up to it and your care allows.

Questions about our transitional care program

If you have questions regarding our transitional care program, please call our Case Management team at 573-468-1342.

Find a doctor or make an appointment: 800.392.0936
General Information: 573.468.4186 | 866.468.4186
BJC HealthCare