|Measure: Percentage of patients who had to be admitted to the hospital|
Time Period Ending: 12/31/2012
What We Are Doing:
The goal of the Home health team is to keep our patients out of the hospital. We manage our visits and frequency of our visits to meet the needs of the patientâ€™s condition. This allows us more opportunities to monitor your medical condition and head off the potential of a re-hospitalization. Home health team members provide education on signs and symptoms that may indicate that your medical condition is changing and when to call home health, your MD or 911. There is an RN available 24 hours 7 days a week for non emergent questions, concerns or problems. We monitor labs, medications, tests, and your response to these. Communicating with your home health team is essential to promote your continued progress to healing and staying out of the hospital.