Reducing Costs and Improving Outcomes
Reducing Hospital Readmissions | Faster, Safer Discharges | High-Quality Senior Living Placements
We bridge the gap between hospital discharge and the right senior care home – delivering faster transitions, fewer readmissions, and guaranteed move-ins for senior living communities.
The Problem: A Costly and Preventable Gap in Care Transitions
Despite efforts to improve care transitions, seniors are still falling through the cracks:
1 in 5 Medicare patients are readmitted within 30 days of discharge. (CMS)
Hospitals lose up to $3,000 per patient due to longer-than-necessary Length of Stay (LOS) and preventable readmissions.
In 2023 alone, 2,273 hospitals faced penalties under the Hospital Readmission Reduction Program (HRRP).
At the same time, senior living communities often:
- Lack access to direct hospital referrals, leaving beds empty and resources underutilized.
- Struggle to prove their measurable impact on readmission reduction despite providing excellent care.
This gap impacts everyone: hospitals, senior care communities, and most importantly, seniors and their families.
The Opportunity: A Proven Solution for Hospitals and Senior Living Communities
TxGeriCare Alliance bridges this critical gap by:
- Partnering with hospitals, nursing homes, and physician offices to facilitate seamless, efficient discharges.
- Connecting seniors to senior care communities that provide personalized care and oversight tailored to them.
- Measuring outcomes to demonstrate reductions in hospital utilization, readmissions, and costs by taking a holistic approach to care and discharge planning.
For Hospitals
Reduce Readmissions. Improve Patient Flow. Achieve Cost Savings.
Your Challenge: Preventable readmissions, discharge delays, and patient dissatisfaction hurt your bottom line.
Our Solution: We specialize in placing seniors into boutique, high-quality senior living communities where they receive the care they need to thrive and stay out of the hospital.
What’s in it for Hospitals?
30-Day Readmission Reduction: Minimize penalties under Medicare’s HRRP program.
Faster, Safer Discharges: Free up hospital beds quickly and improve throughput.
Cost Savings: Prevent extended hospital stays and avoid ER revisits.
Patient and Family Satisfaction: Ensure a seamless, stress-free transition to trusted senior care homes.
Value-Based Results: Align with MSSP and ACO benchmarks for quality care.
Partnering with us means better outcomes, lower costs, and improved performance metrics for your hospital.
For Senior Living Communities
3 Guaranteed Admissions. Increased Occupancy. Higher Revenue.
Your Challenge: Empty beds, inconsistent referrals, and competing with larger facilities.
Our Solution: We connect you directly with pre-qualified seniors ready to move in – guaranteed.
What’s in it for Senior Living Communities?
Guaranteed Move-Ins: Receive 3 guaranteed move-ins within 90 days or your money back.Increased Occupancy and Revenue: Fill your beds and grow your community’s financial stability.
High-Quality Residents: We pre-screen all referrals to match your care capabilities and budget criteria.
Hospital Partnerships: Be the preferred option for trusted hospital systems seeking boutique care homes.
Exclusivity: Limited to communities that meet high-quality care standards.
We make it easy for you to fill beds and build trusted hospital partnerships that drive consistent referrals.
What We Measure:
What We Measure: A Holistic Approach to Successful Senior Transitions
We go beyond clinical needs to ensure every senior is placed in an environment where they can thrive mentally, physically, emotionally, financially, and socially. Our holistic approach measures critical factors that contribute to successful transitions, reducing readmissions and improving patient satisfaction.
1. Clinical Oversight and Care
Medication Management: Ensuring proper medication adherence and oversight.
Activities of Daily Living (ADLs): Measuring the ability to perform basic tasks like mobility, hygiene, and nutrition.
Chronic Condition Support: Matching seniors to communities capable of managing conditions like diabetes, early-stage dementia, and post-acute recovery.
2. Lifestyle Compatibility
We recognize that lifestyle fit is key to long-term satisfaction and recovery.
Cultural and Language Preferences: Placing seniors in communities that respect and align with their cultural identity, values, and spoken language.
Dietary Needs: Matching seniors with communities that provide meals based on medical, religious, or personal dietary requirements (e.g., low-sodium, vegetarian, kosher).
Social and Activity Engagement: Measuring opportunities for seniors to participate in activities aligned with their interests, hobbies, and social preferences.
3. Emotional and Mental Wellbeing
Mental Health Support: Ensuring communities can monitor for depression, anxiety, and isolation, which are common in seniors post-hospitalization.
Family Communication: Tracking how communities engage families in care planning to reduce stress and improve trust.
Personalized Care Plans: Ensuring care environments adapt to each senior’s emotional and mental health needs.
4. Environmental and Safety Factors
Safety Measures: Confirming communities provide proper fall prevention, emergency response, and monitoring systems.
Home-Like Environments: Evaluating the physical and emotional comfort provided by the senior living community.
Cultural Sensitivity in Care: Matching seniors with caregivers and environments that align with their cultural norms and expectations.
Why This Matters
Our holistic approach ensures that seniors transition to environments where they feel seen, understood, and supported, leading to:
Improved Recovery Outcomes: A stronger alignment between clinical, emotional, and lifestyle needs reduces the risk of hospital readmissions.
Higher Patient and Family Satisfaction: Families experience peace of mind knowing their loved ones are thriving in a truly personalized care environment.
Stronger Measurable Results: By accounting for clinical, cultural, and lifestyle factors, we ensure long-term success in care transitions.
We measure what matters – a holistic, patient-centered approach to senior transitions that drives better outcomes for hospitals, senior living communities, and the families we serve.
Why Partner with TxGeriCare Alliance
"The PerfectFit30 program is the Perfect Bridge Between Hospitals, Senior Living Communities, and Families"
Proven Expertise: Over two decades of experience in senior care transitions.
Guaranteed Results: Risk-free partnerships with measurable outcomes.
Personalized Approach: Hands-on, customized senior placements – not one-size-fits-all.
Trusted Relationships: We’re your advocate in building hospital partnerships and securing reliable referrals.
How It Works
Hospitals Discharge Seniors: We work with hospitals to identify seniors in need of safe, appropriate senior care placements.
We Match Seniors to the Right Communities: Referrals are pre-screened and matched to high-quality senior living homes that fit their needs.
Communities Fill Beds: Senior living communities receive guaranteed, ready-to-move-in residents.
Hospitals See Results: Reduced readmissions, faster discharges, and improved patient satisfaction.
It’s simple. We connect the dots – ensuring better outcomes for seniors, hospitals, and senior living homes.
Lead the Disruption
You’re not just a participant—you’re a pioneer. Your insights, leadership, and commitment are critical to this transformative effort. Let’s explore how PerfectFit30 can help you deliver better care, lower costs, and redefine success.
Email: Erika Crossley, Pilot Program Director
Call or Text: 346-546-5654