Hospital To Home | Always Best Care Senior Services

Defining Hospital to Home

What Is Hospital to Home?

Hospital to home enables patients to receive treatment in the comfort of their own homes. This reduces costs, improves outcomes, and enhances the overall patient experience.

How Does Hospital to Home Work?

During the patient’s hospital stay, a care team, including doctors, nurses, therapists, and medical social workers, evaluates the patient’s post-discharge needs and develops a personalized care plan.

Tailored to each individual’s requirements, this plan addresses medical and social support services. This may include psychosocial support, medication reconciliation, and financial assistance.

The Essentials of Discharge Planning

Discharge Planning

Discharge planning is the process of identifying the type of care a patient needs after leaving the hospital.

Key elements of a discharge plan include:

Patient Evaluation: Qualified personnel, such as a physician and discharge nurse, conduct the patient evaluation.
Inclusive Planning: This step actively involves the patient or their representative, allowing them to make decisions about care options and discuss potential outcomes. This also ensures their needs and preferences are fully addressed.
Medication Reconciliation: This includes reviewing and comparing medications before and after hospitalization to prevent harmful interactions, such as combining prescriptions that could lead to adverse reactions or overdosing.
Transition Planning: This step prepares the patient for a return home or transfer to another care facility.
Referrals and Support: Hospital personnel connect with home care agencies and community support organizations to arrange necessary services, including home health care, medical equipment provision, and access to community resources.
Follow-Up Coordination: This involves arranging necessary appointments and tests after the patient’s discharge. It ensures continuity of care by scheduling follow-up visits with healthcare providers, organizing required diagnostic tests, and coordinating with specialists to address ongoing treatment needs.

Key Benefits of Transitioning From Hospital to Home

Reduced Patient Stress: Patients recover in the comfort of their own homes, lowering stress levels.
Shorter Hospital Stays: Seamless transitions shorten hospital stays, access to resources, and reduce healthcare costs.
Enhanced Recovery: The patient’s familiar home environment and support from loved ones often speed up recovery.
Lower Risk of Hospital-Acquired Infections: Home recovery decreases exposure to hospital-acquired infections, such as pneumonia or UTIs.

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