About Us

    Recover at Home

    Are you concerned about hospital readmissions? As a leader in post-acute care, Recover Health has developed a strategic approach to reducing hospital readmissions. Recover at Home is an evidence based program that utilizes best practices and tele-monitoring to keep patients at home post discharge. Our interdisciplinary model includes a hands-on approach to the care transition, a physician directed care plan, tele-monitoring and the expertise of a staff pharmacist.

     

    Care Transition

    A seamless transition home

    • Recover Health Account Executive works closely with discharge planning to facilitate the referral process
    • Account Executive available to consult with the patient prior to discharge
    • Recover Health “Welcome Packet” distributed to patient prior to discharge

    Care Delivery

    Clinical care that makes a difference

    Recover at Home provides a wholistic approach to home health care. The home care team delivers patient and family support through education and appropriate clinical interventions.

    • Risk Assessment
    • Clinical and self-assessments
    • Tele-Monitoring
    • Daily monitoring for the first 30 days
    • Patient Education
    • Disease process education
    • “Call Your Nurse First”
    • Clinical Interventions
    • Skilled Nursing, Therapy, Pharmacist,
    • Home Health Aide
    • Patient Self-Management Plan
    • Detect early warning signs and symptoms
    • Stop and Watch
    • Guidelines for Home Health Aide to recognize acute changes in client

    Diagnoses that benefit from Recover at Home

    • Chronic Obstructive
    • Pulmonary Disease
    • Heart Failure
    • Stroke
    • Diabetes
    • Joint Replacement
    • Wound
    • Heart Attack
    • Pneumonia
    • Patient at risk for rehospitalization regardless of diagnosis

    Benefits of Recover at Home

    • Reduced rehospitalizations
    • Seamless transition home
    • Improved clinical outcomes
    • Detection and management of early warning signs
    • Reduced need for emergent care
    • Improved patient self-management skills
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