Working together with your medical care team is important but your care is not complete unless your family and caregivers are a part of the team too. We bring everyone together to assure your health, ongoing independence and, most of all, your quality of life.

Personalized

• Medical Care Advocate
• Develop care plans that reflect optimal goals so you can remain safely in your home
• Acute episode care management- Post surgical procedure or acute illness
• Be the primary contact for the health care team
• Manage prescription refills

Care

• Medication management and education
• Communication with your pharmacy to assure accurate medication lists are maintained
• Chronic disease care management
• Address changes in condition with the primary care team to have a quick, safe resolution
• Providing clear and timely communication with loved one’s to optimize health and independence
• Communication with providers to assure continuity of care
• Chronic disease education to improve outcomes
• Manage and accompany client to their provider appointments
• Provide oversight of home care services to assure appropriate, safe care is being delivered

Coordination

• Clinical oversight to assure proper care and resources are in place
• Coordinating what is necessary for a seamless, safe transition from hospital and or rehabilitation facility to home
• Durable Medical Equipment (DME) referrals / coordination of delivery
• Provide home care options and work together to choose the right service for you
• Arrange and manage medication blister packing
• Home safety evaluation
• Arrange for durable medical equipment to be installed in the home