Share this Post:

A New Hospital-to-Home Transitions Program

Dorothy’s most memorable line from The Wizard of Oz, “There’s no place like home” remains etched in our minds because there’s truth in it.

While going home is comforting to most people after they’ve been hospitalized, getting settled at home can present a few challenges. While a relief to be home, it can still be scary or overwhelming at the same time.

Family Caregivers Network understands the first few hours after discharge from the hospital or rehab are critical to your recovery. Immediate personal care needs may be more than a patient or their family can handle alone.

Our Transitions to Home program bridges the gap between hospital to home for recently discharged seniors.

Statistics show that seniors who are discharged from the hospital, and then quickly re-admitted are due to 2 reasons:

  1. Lack of follow-through with aftercare doctor appointments
  2. Medication mismanagement.

Family Caregivers Network’s Transition to Home program goes above and beyond to help manage treatment and make the discharge plan.

Family Caregivers Network assists families in meeting the needs of their loved ones after being discharged from the hospital.

We help educate the family, case workers, and social workers to understand why those first few hours at home are so critical.

Our Care Managers coordinate the hospital discharge with the hospital discharge team so patients have a seamless transition to home.

24 hours after discharge a follow-up call by our Care Managers is made to the client to ensure their safety and care needs are being met. All Transitions to Home visits are scheduled in 4-hour, 6-hour, or 8-hour blocks of time.

WHY CHOOSE OUR PROGRAM?

Transitioning home is not always easy after a hospitalization. There’s so much to remember; what the doctor wants you to do, medications to pick up from a pharmacy, getting your home prepared with food, preparing meals, linens for bed and bath, etc. Our Transitioning Seniors To Homecare program helps seniors by reducing the stress of discharge and ensuring a safe return to home.

We understand the first few hours home after a hospitalization is critical to recovery. Family Caregivers Network provides safe, reliable transportation home, a re-acclimation to the home environment, and high-quality care for your loved one.

The Goals of the Transitions to Home Program is to:

  1. To reduce avoidable readmission to hospital or rehab.
  2. Provide families with a fully coordinated transition to home
  3. Reduce stress and provide peace of mind with transition to home.
  4. Billed in 4 hr, 6 hr, or 8 hr. shifts.
 

Our Services may include:

  • Follow-up before discharge
  • Transportation to home
  • Pharmacy/medication pick up
  • Medication pre-setup plan by a nurse as needed
  • Grocery shopping and dietary meal plan
  • Schedule follow-up doctor appointments
  • Meal prep for the first 24 hours
  • Prepare living environment/bedroom linens
  • 4-hour, 6-hour, 8-hour payment options

The “Transitions to Home” program can alleviate the stress associated with a recent illness and hospitalization.

Ongoing assistance at home is also available with short-term or long-term care. All caregiving staff have gone through a Family Caregivers Network certified training program and are bonded and insured. For more information on the Transitions to Home program and other services offered by Family Caregivers Network call 215-541-9030.