Home Health
Home Health Services
Whether you are recovering from surgery or illness, or living with a chronic disease like COPD or diabetes, our highly skilled medical team of clinicians will create a safe, supportive, and professional environment in your home. This care is provided through one-hour home visits from specialized clinicians and continues until recovery goals have been met. Working closely with you and your physician, our professionals craft a comprehensive and individualized plan that can include visits from our registered nurses, home health aides, occupational and physical therapists, and speech/language pathologists.
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Care Transitions Program
Care Transitions Program
For patients transitioning directly from hospital to home, our Care Transitions Program is designed to help you play a more active role in your health care and prevent the likelihood of rehospitalization. This 3-phase journey follows you every step of the way to make sure you are receiving the right level of care to get you back to your highest level of independence and quality of life.
Phase 1:
Your transition coach first visits you in the hospital to arrange a post-discharge home visit and to provide you with a personal health record. This record, which you will be instructed to share with future health care providers, includes a list of your health problems, medications, allergies, and warning signs/symptoms to closely monitor.
Phase 2:
During your post-discharge home visit, which will take place 48-72 hours after your discharge from the hospital, your transition coach will:
- Review your prescribed medications to confirm there are no dangerous interactions.
- Discuss your medication regimen with you.
- Teach you how to effectively communicate your needs to your healthcare professionals.
- Review “red flags” or warning signs/symptoms in your health record, including how to manage them and when to contact a doctor.
Phase 3:
After your home visit, your transition coach follows-up with three telephone calls during the first four weeks after your hospital discharge to make sure you have received necessary medical services, medications, and equipment, and to discuss and answer any questions you may have about recent medical appointments.
Telehealth
Telehealth Services
Our Telehealth program allows us to provide a superior in-home experience by enabling secure, compliant, reliable, and organized communication between patients and their care team. Telehealth connects patients daily to a nurse via the use of next-generation Telehealth and Telemedicine technologies. Telehealth devices measure blood pressure, pulse, weight, oxygen saturation, and blood glucose levels. Information is relayed to our Telehealth nurse, who makes an assessment and coordinates follow-up as needed. If a reading is outside parameters established by the patient’s physician, action is taken. The Telehealth program is proven to reduce hospitalization and emergency room visits, while building patient confidence to self-manage their conditions at home.
Real-time patient engagements include:
- Remote Monitoring of Vital Signs
- Medication Reminders
- Secure Video Visits
- Incident Recording
- Event Alerts
- On-Demand Access to Education
- Surveys and Feedback Modules
- Eden Health Provider Access
