Assist patients with healthcare needs following discharge from Hospitals or Skilled nursing homes or Rehabilitation centers to home.
Discharge instructions follow through.
Care provided by interdisciplinary care team (Skilled nursing, therapies, Medical social worker, Home health aides) as appropriate.
Assess home safety
Assess and manage potential accommodation
Reconcile medications and communicate to primary care provider.
Identify and offer community resources
Ongoing patient and family education and training
Assist with physician appointments and resource for transportation
Indira Care Home Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
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