Our History

Licensed by the State of Oklahoma
Certified by CMS (Medicare Provider)
Member of The National Hospice and Palliative Care Organization

Transitions LifeCare is led by a team of Hospice and Palliative Care professionals who together possess over 50 years in the delivery of healthcare services to the Tulsa Community. Deborah Brazeal, COO and Administrator has founded three hospice organizations and overseen the successful startups of four hospice services. Her background extends beyond hospice to the delivery of care in the community setting, working extensively with hospital based providers as well as national home based providers of care. The leadership team and co- founders of Transitions LifeCare are comprised of Joshua Brazeal, BS, Director of Operations and Spencer Brazeal, BS, Director of Business Development. Both are seasoned hospice professionals with more than 18 years combined experience, specifically in the field of hospice and palliative care. Our clinical team is led by Edward Rylander, MD, AHAPC, an expert hospice Medical Director who has overseen the hospice plans of care for over 3,000 patients since his first commitment to this demographic in 1997.

Our hospice services are easy to identify with the name Transitions LifeCare Hospice. We are licensed in Oklahoma as a provider of hospice services and have provided these services as a contracted provider with Medicare since 2006. Our Medical Director has maintained his Hospice and Palliative Medicine credentialing since 1999, as a specialist in this field of Medicine. Our presence in this community has always been premised on providing care that exceeds the expectations of the patients and families we serve. This premise is operationalized by hiring clinical professionals who want to work for a company who has high standards of care, teaches and develops their staff to deliver on that high standard of care and holds themselves and their staff accountable.

Near the beginning of 2013, after serving the Tulsa community’s end of life hospice needs for more than fifteen years, our Leadership and trending data showed that in addition to hospice services, there were patient needs not being met and gaps in available care; thus decided something needed to change in order to address the patient population that hospice care was missing. These needs and gaps in care were seen within the aging and chronically ill population and were typically needs for which there were no services available. It was time to shift our focus to include a broader palliative care program. A layman explanation is that full scope of hospice care is Palliative, but full scope of Palliative care is not just hospice care. With this small shift in focus to include those with severe illness and chronic care needs, a new company was established with the name Transitions LifeCare. The goals of this new entity were to serve not only the end of life needs of our community, but to provide services to those who need care not meeting the hospice criteria, and improve the lives of an increasing number of people faced with the associated challenges of chronic and severe illness.

Our history of providing high quality healthcare services in a number of settings, is an achievement we are very proud of and speaks to our commitment to the community we serve. Our experience in these healthcare settings serves to improve our understanding of the many resources available as well as the need for communication between those resources.