Hospitals and other acute-care facilities continue to look for ways to reduce avoidable readmissions and the associated penalties. Many times patients’ psychosocial needs play a large role in readmissions, and hospitals are often not equipped to handle these needs once a patient is discharged. A collaboration with home health and non-medical in-home care allows hospitals to provide the extended care patients need to recover successfully at home.
Vulnerable patients with complex needs may not have access to nutritious meals. Sometimes they forget to follow their care plan or take medications as prescribed. Patients may not have transportation for errands or to attend follow-up appointments. Home health and non-medical assistance after discharge provide ongoing communication and patient-centered care to improve health outcomes and reduce expenses.