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For Health Professionals

Discharge Outreach Program

Post discharge follow-up care from Capital BlueCross

Our Discharge Outreach Call (DOC) Program is a care outreach program being offered to all members whose benefits include Pre-Certification/Pre-Authorization. This program facilitates access and coordination of post discharge services as necessary.

The DOC Program begins with a member interview within 48 hours after discharge from a hospital and includes self-care, schedule of medications, access to care issues, and equipment/supplies as required.

Members who may benefit from the program are identified by their discharge diagnosis and risk for readmission. Members at risk include those with:

  • Complex discharge plan and follow-up needs.
  • A history of readmissions.
  • A history of frequent emergency use.

The DOC Nurse sends the member general health education information as well as refers members for long-term monitoring or continued assistance when appropriate.