Home Health: 50% of health care dollars are spent in the last year of 5% of the population lives.
First visit within 24-48 hours/as requested.
Supported by Transitions Chronic Care team for patient’s whose status changes & need ongoing symptom management.
Staff recognizes early signs of distress reducing hospital visits.
Dual level care increases support to patients & family to improve quality of life.
Community resource referrals for ongoing support & independence.
Manage complex care needs of patients with chronic conditions such as cancer, heart failure, lung disease, liver disease, chronic pain, and dementia.
Reduce the need for urgent hospitalization and ER visits.
Coordinate Care with doctors, home care, home health, hospice and medical equipment.
Social Worker support to help cope with depression and anxiety, caregiver stress, advocacy, community resource specialist and much more.