“Wow! The hospital actually followed me home! In all my years of medical care, not once did the hospital contact me at home. This is exciting.”

Partners’ Community Care Transitions Coaches are trained to help you get the most out of the health care system, and community programs and services. They understand how hard it can be to manage doctor appointments, remember which medications to take, or just do simple tasks when you’re feeling less than your best. Your transitions coach can help you in the transfer from hospital to home. And they can help lower your chances of going back to the hospital.