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Transitional Care Clinic Expands at Wheeling Hospital

December 17, 2020

WHEELING, W.VA. – Wheeling Hospital’s Transitional Care Clinic, in a partnership with Catholic Charities of West Virginia (CCWVa) is expanding its services in order to better care for and support discharged patients.

CCWVa received a $333,333 grant for its innovative Hospital Transition Program, and proposed the clinic partnership with Wheeling Hospital. The two organizations worked together to develop a supportive transition for high-risk patients as they are discharged from the hospital.

A CCWVa case manager coordinates with the hospital team to work with patients prior to discharge. The case manager provides individualized supportive services, following up with the patient to ensure they understand discharge instructions and are connected to community resources. The clinic will now perform seven days of follow-up patient visits after discharge.

“For high-risk hospital patients with complex needs, this collaboration provides a more fluid transition from the inpatient setting to home, reducing readmission rates and helping individuals better achieve and maintain health stability,” said Sara Lindsay, CCWVa chief program officer.

The program focuses on basic chronic disease management, home safety, support networks and food security from a nutritional angle.

“As hospitals implement interventions to improve discharge transitions, it is important to understand patients’ perspectives on which intervention components are most beneficial,” said Heidi Porter, Wheeling Hospital director of Quality Management. “This partnership allows us to partner with patients post discharge in a very unique way. We are thrilled to work with Catholic Charities and make a positive impact on the most vulnerable patients.”

Additionally, space will be made available in the hospital for a “food pharmacy,” a food pantry for those with fixed or low incomes to visit before they are discharged. Volunteers from local parishes will collaborate to help operate and stock the pantry with donations of nutritious foods specific to certain chronic illnesses.

Client-centered patient education will be a key component of the food pharmacy.

For more information on the Transitional Care Clinic or the food pantry, call Porter at 304-243-5342.
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Media Contact: Thea Gompers, Director, Marketing/Public Relations
Wheeling Hospital

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