The services that are included in our “Hospital to Home” Program are:
- Reassessment of your conditions in the home environment
- Reconciliation and (clarification and/or education) of your medications
- Patient and Family communication and education regarding your health conditions, discussion of progress since hospitalization
- Able to intervene if new problems arise or existing problems are getting worse
- Direct communication with your primary care provider, integrated into your medical records
- Continued check-ins in person, by phone, or virtually for up to 30 days after hospitalization
- Similar programs have been shown to reduce the risk of rehospitalization after an initial illness
The goal is to make sure that you continue to do well as you make your recovery, and that we work in collaboration with your primary care provider to see to any needs you may have when you’re back at home.