The period between being discharged from the hospital and returning home is a challenging time for many patients. The 30-day period that follows a hospital discharge is when most patients, particularly those with chronic conditions such as diabetes or CHF or those who have recently undergone surgery are readmitted to the hospital due to complications with their condition. To reduce the risk of a hospital readmission, it’s important for patients to fully understand their condition and the care plan they are expected to follow before returning home. [Read more…]
Patients move through the spectrum of care options continually, transferring from skilled nursing or rehab facilities to full service private pay home care and back again as care needs change.
Providing patients with smooth transitions between care providers through better referrals allows for:
- Better patient outcomes
- Decreased hospitalizations