TRANSITIONAL CARE SERVICES

Transitional Care at Home HealthCare is a service designed to provide additional skilled care to those needing more time to heal following an acute hospital stay, prior to returning to their home environment. This service allows patients to move from acute care to skilled rehabilitation in the same facility ensuring continuity of care by the same physicians, nurses, and therapists.

Our transitional care program provides the same services as the skilled nursing units at other facilities. If an emergency arises during their rehabilitation, patients can return to the acute care unit of the hospital.

Any patient who no longer needs acute care but is not ready to be discharged to their home can benefit from this service. Some examples include:

• Patients recovering from major surgery, joint replacement, or abdominal and vascular procedures;

• Patients recovering from a major accident or stroke;

• Patients with wounds requiring special care, IV/or antibiotic therapy.

Acute care patients who have been hospitalized at PAH or another hospital for a minimum of three days and who need additional monitoring are eligible for transitional care services. The average length of stay is 10-14 days; however, patients may stay as many days as needed. Family members are encouraged to visit.

The following services may be provided to patients in the Transitional Care Unit:

• Daily physician visits

• Skilled Nursing Care

• Physical, Occupational & Speech therapies

• X-ray and laboratory testing

• Dietary services

• Respiratory therapy

• Emergency dental services (after deductible has been met)

• Family care plan meeting