Our Clinical Programs
Our specialized home health clinical programs provide focused, coordinated care for patients with complex health conditions and recovery needs. Each program combines skilled clinical care, patient and caregiver education, and interdisciplinary coordination to help patients achieve better outcomes safely at home.
Every clinical program incorporates our Medication Management and Hospitalization Prevention protocols to identify risks, improve medication safety, recognize changes in condition early, and help reduce avoidable emergency room visits and hospitalizations.
Specialized home-based care for patients with congestive heart failure, coronary artery disease, hypertension and other cardiac conditions. Our clinical team focuses on cardiopulmonary assessment, symptom monitoring, disease education, medication management and early identification of changes that could lead to hospitalization.
Focused care for patients with COPD and other chronic respiratory conditions. The program combines respiratory assessment, symptom monitoring, oxygen and respiratory medication education, energy conservation, conditioning and early recognition of pulmonary exacerbations to help patients breathe and function better at home.
Comprehensive support for patients managing diabetes and related complications. Skilled clinicians provide glucose monitoring education, medication and insulin management, nutrition and disease education, skin and foot assessment, and training to help patients and caregivers safely manage diabetes at home.
Specialized wound care for patients with surgical wounds, pressure injuries, diabetic wounds and other complex wounds. Our clinicians provide ongoing wound assessment, physician-ordered treatments, infection surveillance, skin protection and patient/caregiver education to support healing and prevent complications.
A coordinated recovery program for patients returning home following joint replacement, fractures, orthopedic procedures, hospitalization or rehabilitation. Nursing and rehabilitation professionals work together to improve mobility, strength, safety and independence while monitoring for post-surgical complications.
Interdisciplinary home-based rehabilitation for patients recovering from stroke or living with Parkinson's disease and other neurological conditions. Nursing, physical therapy, occupational therapy and speech therapy work together to address mobility, activities of daily living, communication, swallowing, cognition, safety and caregiver education.
Designed for patients experiencing falls, weakness, balance problems or difficulty walking and transferring safely. Our rehabilitation team addresses strength, balance, gait, home safety and assistive-device use while identifying factors that may increase fall and hospitalization risk.
Specialized home health support for appropriate patients with behavioral, psychiatric or cognitive conditions requiring skilled care. Services may include behavioral and mental-status assessment, medication education, symptom monitoring, safety assessment, coping strategies, caregiver education and coordination with the patient's healthcare providers.
Built Into Every Clinical Program
Medication Management
Medication safety is an essential component of every clinical program. Our clinicians reconcile medications, assess the patient's ability to safely manage their medication regimen, provide medication education, identify potential concerns and communicate significant findings to the patient's healthcare providers.
Review. Educate. Reconcile. Monitor. Communicate.
Hospitalization Prevention
Every clinical program incorporates proactive hospitalization-prevention strategies. Our clinicians identify patient-specific risk factors, educate patients and caregivers about warning signs, monitor for changes in condition and communicate significant changes to the appropriate healthcare provider so intervention can occur as early as possible.
Recognize Early. Communicate Quickly. Intervene Appropriately. Stay Safely at Home.
Culture of Caring leads to Better Outcomes and Hospitalization Prevention
Our clinical programs combine disease-specific expertise with medication management, patient education, rehabilitation and proactive hospitalization prevention — providing patients, families and referral partners with a coordinated approach to achieving better outcomes at home.
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