RightTransitions | Discharge Care in Pasadena and Surrounding Areas

RightTransitions^® Improves Patient Well-Being After a Hospitalization

Recovering from a medical condition can be stressful. Our RightTransitions® program is specifically designed to assist patient and families to work with other healthcare providers so that readmissions can be prevented and patient care will be improved.

According to the Department of Health and Human Services; “one in five patients who leave the hospital will be readmitted within 30 days”. The Medicare Payment Advisory Commission estimates that up to 76% of these readmissions may be preventable. Our care transition program goes above and beyond from the moment our client leaves the hospital to assure a return to the warmth one enjoys Right at Home.

When a loved one is discharged from the hospital or rehab, the effects of their condition aren't necessarily gone. This often makes adjusting to daily life difficult, especially for seniors, which can increase their risk for readmission. Right at Home Pasadena's RightTransitions® program can help make transitioning from a healthcare facility to home easier on the patient by providing the following in-home senior care services:

• Communication with family and healthcare providers. We speak with the doctors and family to ensure everyone has the same information.
• Regular visits. Our caregivers and nurses can check in on your family member to know that you’re doing well and getting better.
• Medication reminders. A main cause of slower recovery is improper use of medications. We can help make sure they stay compliant and are taking what is needed.
• Transportation to doctor appointments. Regular doctor visits are important to most people’s recovery. If you aren’t able to drive yourself, those appointments can be hard to keep.
• Meal preparation. Eating nutritious meals is the foundation of health. We can fix meals for any diet – even for special dietary requirements such as diabetes or congestive heart failure.
• Maintain the household. Your loved-one needs to focus on recovery. Our caregivers can help by taking care of typical daily chores, such as vacuuming, washing dishes and cleaning the bathroom.

Our Care Transition Support Process

Our committed office case manager will meet with the hospital staff to guarantee a full understanding of the discharge instructions provided by a care provider to instill a safe and comfortable recovery. We will also coordinate with the hospital-assigned social worker and physical therapist (if applicable) to ensure that we are covering every possible base to improve the quality of life. 

There are many different reasons that you or your loved one may be discharged from the hospital and need assistance including (but not limited to):

• Alzheimer's
• Cancer Recovery
• Heart Attack
• Orthopedic Surgery

We assign a caregiver who will oversee any changing condition, making recovery the ultimate goal. Working with our case manager will give them an understanding into the scenarios of outpatients to provide the best possible care. They track changes and submit client reports in order to assess progress and promote well-being of your loved one. 

Our proprietary notification system tracks client progress and also notifies our entire staff of any decline the moment our caregivers arrive. We make sure we do everything possible to reduce the chance of re-admission while coordinating the best care possible. 

Find solace in our trusted office staff's commitment to the care of your loved one. Hear what our clients have to say:

"Our case manager, Raquel, has been amazing in helping us to formulate the best plan for my mom. My mom is receiving the best care possible thanks to Raquel's thoughtful care plan" - Eileen K.