You’ve probably seen it with loved ones. An elderly person checks out of a hospital or nursing home only to be readmitted within a few months and sometimes weeks. During the transition, medications weren’t taken, doctor appointments weren’t made and chronic illnesses weren’t cared for. 

At least one in five people with Medicare are readmitted to the hospital within one month of discharge.

But what if hospital care were different? Instead of sending elderly people home alone with confusing instructions and to-do lists, what if we sent a Care Service Coordinator to guide and help you through the discharge process? 

What if that transition care service were affordable?

At There 4 U Homecare Inc.,  we’re making it a reality through our Smooth and Safe Transition Care program.

A transition from a hospital or nursing home can be confusing. Often times, the elderly are alone and have no one to look after them or may have adult children that are out of state or simply are working and can't take time off. 

You get rehabilitation instructions, prescriptions to fill, follow-up appointments to make. When you get home, you don’t just have to build up your strength, but you’re supposed to remember all these other things—and have the energy to do them. For elderly people, recovery can be even more overwhelming because they’re often alone.

With our Smooth and Safe Transition Care program, we’ve addressed each of these problems and developed a solution that helps put patients at ease so they can focus on getting better.

Your Care Service Coordinator will meet you at the hospital, nursing home or other health facility and guide you through the transition process. After your discharge, your Care Service Coordinator will meet with you to put together a plan of care.  For example, your Care Service Coordinator may schedule transportation to follow-up appointments, remind you about prescriptions and medication regimens, and make sure your home is safe. Your Care Service Coordinator will also provide a listening ear and encouraging words.

Your Care Service Coordinator will put together a Personal Health Record so your loved one information will always be readily available.