Mary Washington Healthcare Transitional Care Clinic
1201 B Sam Perry Blvd., Suite 205
Fredericksburg, VA 22401
Monday–Friday, 8:00 a.m.–4:30 p.m.
The Mary Washington Transitional Care Clinic provides comprehensive, patient-centered
care to optimize health and reduce hospitalizations for patients with
chronic heart and lung diseases. Through this program, we work with patients
and their caregivers to help them understand the disease process, recognize
early warning signs and, as a result, receive effective treatment sooner.
The goal of the Transitional Care Clinic is to provide continuity of care
from the inpatient to the outpatient setting. We supplement care given
by primary care physicians, cardiologists and pulmonologists. We work
with patients and physicians to ensure collaboration on all levels.
Comprehensive Treatment of Heart Failure and COPD
Care is available for any patient with heart failure and/or COPD, from
newly diagnosed patients to those in advanced stages of the disease resulting
in frequent hospitalizations. This disease management center is staffed
by an experienced Nurse Practitioner, Teresa Grow, with clinical oversight
by a board-certified cardiologist and pulmonologist.
Treatment plans include:
- Early follow-up after hospital discharge
- Comprehensive patient/family education to promote patient adherence and
- Educational materials to assist with knowledge and adherence
- Assessment, planning, and close monitoring to recognize early deterioration
and offer prompt treatment
- Optimization of medical therapy and fluid/oxygen management
- Telephone access for patients with questions during business hours
All protocols and care are based on the American College of Cardiology/American
Heart Association Guidelines and GOLD (the Global Initiative for Chronic
Obstructive Lung Disease).
Talk to your doctor to see if the Transitional Care Clinic can help you
manage your chronic heart and/or lung disease.
Inpatients of Mary Washington and Stafford Hospital with COPD or heart
failure may be scheduled to follow up with the Transitional Care Clinic