Transition Across the Community Team (TACT) program
Cheyenne Regional Medical Center’s Transition Across the Community Team (TACT) program is a no-cost, patient-centered program designed to improve quality of life, reduce re-hospitalization and contain costs for patients who are 18 years of age and older and considered high risk.
If you’re experiencing an episode of illness, you may receive care across multiple settings—often resulting in incomplete or confusing information.
The goal of the TACT program is to ensure you and your family have the tools, encouragement and resources you need to advocate for yourself and/or take a lead in your care related to:
- Arthritis and other related disorders
- Cardiac Arrhythmia
- Chronic Obstructive Lung Disease
- Coronary Artery Disease
- Congestive Heart Failure
- Hip Fracture
- Medical/Surgical Back Disorder
- Peripheral Vascular Disease
- Pulmonary Embolism
For more information about the TACT program, please call (307) 633-6177.
Who is eligible for the TACT program?
To be eligible for participation in Cheyenne Regional’s TACT program, you must be 18 years of age or older, a resident of Laramie County, or considered a high-risk individual and willing to identify a Primary Care Medical Home (PCMH) to serve as a consistent source of well-coordinated care.
How your TACT program case manager/nurse will help you
Following a referral, you’ll be paired with a Cheyenne Regional TACT Nurse/Care Manager, available to help you Monday through Friday.
He or she will provide you with specific written material, information and self-management skills to:
- Ensure your needs will be met when you receive additional care in multiple settings in the future
- Manage your own care
- Improve your quality of life
- Know where to go for assistance within the health care system
- Coach you and/or your family regarding the importance of follow-up with your primary care medical home
- Assist you to create an individualized care plan
- Teach disease-specific information and medication management
- Teach you early signs of worsening illness and what to do about them
- Advocate and encourage you and/or your family to take a lead in your care to have a better quality of life
- Coach you how to communicate with care providers
What are the benefits of the TACT program?
The benefits of working with your TACT Case Manager/Nurse through the TACT program are numerous! They include:
- Increased ability to self-manage your care and health
- Improved quality of life
- Improved follow-through with physician recommendations and orders
- Improved care and health status
- Improved quality and safety
- Reduced re-hospitalization rates
- Reduced hospital costs
Additionally, if you’re experiencing anxiety, depression or either condition along with chronic conditions, your TACT Nurse/Care Manager can provide a referral to B-Well, a behavioral health resource support, and other community resources.
What is the TACT program visit structure?
For more details on what to expect, please call (307) 633-6177.
- Hospital visits, if hospitalized
- Phone call within 24-48 hours of referral
- Follow-up questions and schedule/confirm home visit
- Home visits
- Create individualized care plan
- Coaching regarding follow-up visits with providers, medication and disease management
- Follow-up weekly phone visits based on the individual’s needs
- Coaching regarding provider communication, medication, symptom and disease management