FULLY INTEGRATED HOME HEALTH CARE
Our goal is to insure a smooth and rapid transition for the patient from a hospital or skilled nursing facility so that the care and recovery process may immediately begin at home. We begin with a thorough, personalized assessment to identify the patient’s needs, understand the home and family environment, and address the physician’s orders. We believe this assessment is the initial step to the development of a holistic plan of care that will reduce the probability of re-hospitalization.
A comprehensive Care Plan will be developed by a personal Clinical Case Manager with the involvement of family members to ensure it’s successful implementation. In addition, the patient and family will have the opportunity to meet and interview prospective caregivers to encourage communication and compatability.
Our sophisticated electronic medical records system enables our team of clinicians, the patient’s physicians and insurance plans, to communicate with each other in real time to enhance the coordination of care with the confidence that the patient’s needs are being fully addressed. In addition, we hold weekly and monthly interdisciplinary care meetings to review patient outcomes, evaluate quality, and measure our results against State and National data standards to continually look for opportunities to improve our care and service.