There is an alternative that will enhance your current discharge practices. Many healthcare facilities recognize the value of supervised care transitions provided by trained, reputable providers to safeguard against unnecessary hospital, long term care and rehabilitation center readmissions.
Right at Home is at the forefront of these providers. Our RightTransitions® program is structured to work with you, other healthcare providers, your patients and their families. We work to reduce your readmission rates, lower costs associated with readmissions and enhance your reputation for providing quality patient care. Whether you currently have a transitional care program or not, our caregivers can improve your patients' recovery.
Our non-medical care model includes services necessary to help patients transition safely out of your facility including:
- Frequent follow-ups with families and discharge planners
- Medication reminders
- Coordinating communication between providers
- Transportation to physician appointments
- Preparing meals
- Running errands
- Keeping homes clean and safe
How RightTransitions® Improves Patient Outcomes
Enhance communication between care providers and patients
While HIPAA laws protect patients from breaches of privacy regarding their medical records, for healthcare providers they have hindered communication because of a lack of portability. There is no simple solution when it comes to the issue of securing medical records passed from one provider to another.
Right at Home Albuquerque can help coordinate communication between care providers and the patient by helping the patient follow the care plans prescribed by healthcare providers. Right at Home caregivers work with patients to help ensure they comply with providers' recommendations.
Follow-up and transportation to physicians
Patients are regularly scheduled for follow-up appointments with a primary care physician or specialist before they're ever discharged. Many can't make it to their appointments due to lack of transportation, or they simply forget about their scheduled visit.
Right at Home works with care providers, patients and their families to ensure the patient makes these critical follow-up appointments. We coordinate with a patient's support system to ensure they have a ride to providers' offices, and we transport patients ourselves whenever it's necessary.
Clear instructions on post-discharge care and medications
Many seniors contend with multiple chronic diseases, disorders and conditions that require an array of medications. The discharge instructions that pertain to their medications are often confusing, and many patients are readmitted to a hospital, rehab center or other care facility soon after discharge due to medication errors and mismanagement.
Right at Home advocates for your patients when it comes to care plans. We provide them with medication reminders to help ensure prescriptions, OTC medications and nutritional supplements are taken on time and refilled when needed.
Right at Home Albuquerque offers Transitional Care Services to patients who discharge from the following facilities:
- Advanced Healthcare of Albuquerque
- HealthSouth Rehabilitation Hospital of New Mexico
- Lovelace Health System (Lovelace Medical Center, Lovelace Westside Hospital, Lovelace Women’s Hospital, and Heart Hospital of New Mexico)
- Presbyterian Healthcare Services (Presbyterian Hospital, Presbyterian Kaseman Hospital, and Presbyterian Rust Medical Center)
Provide proactive solutions
No two patients need the same kind of care. We coordinate between hospitals, rehab centers, other care facilities and patients to ensure patient needs are met. Your patients may need meals prepared for certain dietary restrictions. We can easily help them prepare those meals. Perhaps they need ambulatory assistance to lessen the likelihood of a fall that could lead to a re-injury and readmission. We do this every day. Regardless of what your patients need to ensure they are safe and healthy outside of your care, there's a good chance it's something we provide to thousands of people every day.