Torrance Memorial Health System launched a readmission program in early 2013, Total Wellness Torrance Post Acute Network, that has been recognized as a program of excellence for its innovation and impact on the community by the California Association of Healthcare Facilities (CAHF). Navigators work with patients prior to discharge from the hospital to educate them on the hospital’s Care Transitions program, which includes a network of Skilled Nursing Facilities, or SNF’s and one home health agency. Once the patient is discharged,
ambulatory case managers keep watch on the patients after the 30-day penalty phase is over.
Participating facilities include: Bay Crest Care Center, Driftwood Care Center, Del Amo Gardens, The Earlwood Care Center, Lomita Post Acute, The Royalwood Care Center, Sunnyside Skilled Nursing, and Torrance Memorial Transitional Care Unit.