Personalized support following hospital discharge
Stay Well at Home
Stay Well at Home
Our Stay Well at Home skilled home health model means care plans are personalized to support patients through targeted in-person and virtual interactions to address common avoidable issues that can lead to rehospitalization.
Increased Risk Zone After Hospitalization
Every patient’s recovery journey is different, but there are common pitfalls patients face when they transition home. We can help patients avoid them.
12.6%
of people who discharge home from the hospital return within the first 30 days
36%
of people who return to the hospital do so in the first 7 days after discharge
Program Components
- Call Us First 24/7/365
- Same day start of care available
- Assessment and intervention before health changes or concerns become a crisis
- Multi-channel & layered intervention via virtual and in-person interactions
- Focus on safety, medication reconciliation and post-discharge follow-up and compliance
We Definitely Care
about keeping you safe at home and out of the hospital.
