Providing home health services can help avoid that outcome, ensuring a continuum of care that promotes faster and more sustained recovery, and fewer hospital readmissions. It also allows patients to heal at home – where they prefer to be.
It’s critical that a home health partner provide a seamless transition from hospital to home, as well as the required level of patient care. CenterWell Home Health, a leading provider of home care, offers a breadth of services and a customized care team that enables a smooth transfer of services to the home environment and the ability to manage a full range of patient needs.
Coordination and Preparation are Key to Home Recovery
A successful transition requires the hospital staff and home health provider to work in tandem during the discharge planning period to have the necessary services in place in advance of the patient’s arrival home. It’s also imperative that patients be well-informed about their care plan before their discharge. To prepare them for what to expect when returning home, a CenterWell Home Health representative meets with the discharge team while the patient is still hospitalized to discuss the doctor’s orders and walk through the next steps, which include establishing a home care plan in collaboration with the patient and their health practitioners.CenterWell’s approach to developing a home care plan centers on a comprehensive patient assessment that considers the patient’s physical condition, medications, support systems and home environment. This thorough evaluation ensures that every aspect of the patient’s needs is addressed, paving the way for a safe and effective home recovery process.
Once home care is initiated, real-time updates on the patient’s progress are regularly communicated to the patient’s primary care practitioners for ongoing coordination of care and any additional referrals.
Clinical Excellence and Innovations That Improve Outcomes
When determining a patient’s discharge plan, it’s essential the patient feel confident that the home health provider has the capabilities to carry out the requirements of the care plan, which can entail a wide range of services and clinical expertise. CenterWell Home Health’s comprehensive service offerings, highly trained clinical staff and advanced clinical programs make us a dependable partner for providing the optimum level of home care. A multidisciplinary team tailored to each patient’s specific needs can include nurses, physical and occupational therapists, speech and language pathologists, and social workers. CenterWell’s approach also encompasses social determinants of health (SDoH), assisting patients who are food or housing insecure or experiencing other socioeconomic and lifestyle factors that could present obstacles to their home recovery.
With ongoing training in the latest treatment methods and health management technologies, CenterWell clinicians are well-prepared to handle the complexities of each patient’s care. In fact, we’ve expanded our technologies to include voice-to-text documentation and cardiac remote monitoring devices that take some of the administrative burden off providers and facilitate ease of information sharing among clinicians. As a leader in clinical innovations, CenterWell also continually integrates improved techniques that can help patients build and maintain their independence, while maximizing outcomes after a hospital stay or surgery.
With research showing lower hospital readmissions, shorter hospital stays and reduced costs with home health services, partnering with CenterWell Home Health can make all the difference for a patient’s full recovery in the comfort of their home.
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