CARE TRANSITION
We offer an integrated care approach to managing illness which includes screenings, check-ups, monitoring and coordinating treatment, and patient education. Our aim is to help improve the quality of a patient’s life while reducing health care costs by preventing or minimizing the effects of a disease for those who want to recover in the home.
Working in conjunction with a patient’s primary care physician, our health care team can include nurses, rehabilitation therapists (speech, physical, occupational), a physician, dietitians, social workers, certified home health aides, and more. The interdisciplinary team creates and implements a plan of care based not only on a patient’s diagnosis but on the challenges with which he/she may be struggling.
