Do you or a loved one need additional support after leaving the hospital?
We can help you understand your medication, set you up with a health record, help with follow up appointments, and can even provide you with additional support that may help you recover.

Care Transitions is provided at no cost to participants.

As we age, navigating changes in healthcare can become increasingly complex. Care Transitions focuses on ensuring smooth, well-coordinated transitions between care settings – whether transitioning from a hospital to home or from an inpatient rehabilitation facility to a home setting. Our goal is to provide older adults with the support they need for safe recovery, better outcomes, and peace of mind.

Key Features Include:

• Medication Management: Reviewing prescriptions and helping patients fully understand their usage to minimize errors
• Follow Up Appointment Coordination: Ensuring patients attend follow-up appointments to address concerns and maintain health progress
• Educational Support: Offering clear and accessible guidance tailored to the unique needs of older adults
• Utilization of Personal Health Records: Offering guidance and access to personal health records to enable effective tracking of medical history and care plans
• Communication Coordination: Facilitating seamless communication between healthcare providers, caregivers, and patients
• Weekly Check-In Calls: Delivering personalized support through proactive calls to resolve concerns and promote recovery
  
  This approach prioritizes the unique healthcare needs of older adults, helping them navigate each step of their journey with confidence and clarity.