Proving Patient Well-Being After a Hospitalization
Transition care aims to a smooth shift home after a hospitalization with the support of our professionally trained companions, aides and nurses who can assist with transportation, personal care, and companion care needs. The Hospital to Home program focuses on comfort and safety for patients returning home after a hospitalization. We can meet in your hospital room, and help you pack up your belongings or meet you in front of the hospital entrance.
Transitional Care Management Services
Step 1
Intake, Planning and Preparation
A stay in the hospital is always tough–but even tougher if your loved ones are far away. Don’t worry – Just Ask A Home Care and our caregiver can come to the home; help pack your clothes and belongings and complete any other persona tasks if you may require and close down the house. Then, he/she will provide or arrange transport, help you check in to the hospital and carry in your luggage.
Step 2
Stay in Hospital and Family Coordination
Once you are settled in, your personal caregiver can stay by your side as much as you need–even 24 hours a day (hospital regulations permitting).
The caregiver can also help keep the family informed on the patient’s progress as frequently as desired. Imagine the comfort that can provide when family or friends can’t always be there.
Step 3
Bring Home, Care, Educate and Follow Up
When your stay is complete, the caregiver will pack your belongings, assist with discharge, arrange or provide transport home and help you get settled. Senior Home Care Services can then keep a caregiver in the home as long as you need, allowing you to recover at your pace, with total serenity.
Don’t face a hospital stay with fear or anxiety–Just Ask A Home Care.
Improves Discharge Processes
Ask A Home Care to support your patients and their families get back home safely.
With full time nurses dedicated to supporting our clients, we can provide same day assessments and immediate staffing services. Our nurses have worked in hospitals so are familiar with the discharge planning process and can help coordinate other services such as home health services or hospice care. Our caregivers can provide transportation so if necessary, we can pick your patient up and drive them home, stopping by the grocery store or pharmacy along the way if necessary.
Improves Patient Outcomes
Discharging a patient requires a lot of attention to detail and communication among several individuals. Patients and families have different expectations which leads to inaction or poor decisions.
Ask A Home Care can help by being a patient advocate and community service expert that can recommend and refer other services potentially unknown to the hospital case managers. We will follow the patient for the first 30 days to ensure they are following up with their doctors, taking appropriate medications, and eating healthy!
Focuses on Recovery
When recovery at home is the focus, Dial A Home Care is the answer to managing follow-up appointments, proper nutrition, medication reminders and personal care services.
All you need to do is to Recover and leave the rest of everything to us
Our experienced and dedicated caregivers will support your every day and time needs when it comes to recovering from a surgery or illness.
Key Components of a Successful Transition Program
Empowering the patients with a successful discharge plan that can significantly reduce the risk of readmissions and increase overall patient satisfaction and a speedy recovery at the same time., complex cases.
Enhanced Communication Between Care Providers and Patients
- Care coordination
- Care plan adherence
- Post-acute care plan follow-up
- Communication with all care providers
Follow-up and Transportation
to Physicians
- Ensuring follow-up with MD/PCP/specialists
- Transportation assistance
- Appointment reminders
- Appointment attendance
Clear Instructions on Post-Discharge Care and Medications
- Essential reminders
- Adherence to discharge instructions
- Care plan education
- Nutrition / hydration
- Timely initiation of care
Provide Proactive Solutions
- Care coordination
- Assistance with dietary restrictions/changes
- Fall risk reduction
- “Eyes and ears” of in-home, nonmedical care for high-risk, complex cases.
