TCM Nurse Time Estimates

As a guide, the table below provides estimates for the frequency and intensity of contacts for patients enrolled.

TCM Nurse Time Estimates
In-hospital Care	60-75min for initial hospital assessment 30-60min other daily in-hospital visits
Duration of Post-Discharge Care for Each Patient by Month
	# of Total Visits*	Visit Type and Length	# Telephone Contacts	Telephone Call Duration
1 month follow-up (20% of enrollees)	8	60min for any MD office visit; 45 min for subsequent visits 60-75min for transition summary at discharge	10	10-15min
2 month follow-up (60% of enrollees)	11		15	10-15 min
3 month follow-up (20% of enrollees)	13		20	10-15 min
For all participants: Assume 1 admission and 1 discharge visit with the potential for 1 physician visit during follow-up. For those participating for shorter lengths of time (e.g., those with fewer chronic conditions and/or less complicated therapeutic regimes) this pattern will not be necessary or feasible. All other visits average 45 minutes. Telephone calls are estimated averages with duration of phone time estimated assuming contact with the patient/caregiver and no significant loss of time due to hold time, etc in referring for services, etc. * The total number of average visits for the time frame (e.g., a participant followed for 2 months received a total of 11 visits during the entire period).

Transitional Care Model - When You or a Loved One Requires Care