How We Help Reduce Hospital Re-admissions with WELCOME HOME
  • Create a personalized, patient-focused strategy with your Doctor
  • Educate the patient, family, and caregivers
  • 24-hour availability and response for
    • helping with special diet meal preparation, exercise, and hydration
    • medication reminders and transportation to medical appointments
    • observation, measurement, and monitoring of key condition indicators
    • early intervention (call to doctor)
    • outcome trending and data along with client satisfaction reporting
  • Acquire all newly prescribed medication
  • Clean-up and secure home
  • Prepare meal
  • Perform Safety audit to prevent falls
  • This service can be a one day service or a long term monitoring service implemented in our excellent care service
  1. The hospital discharge planner/case manager discharges the patient home with Family Matters and notes the discharge date tracking.
  2. Family Matters In-Home Care develops a personalized plan based on the patient’s diagnosis and educates the patient and his or her family on how to assist at home.
  3. While helping with discharge instructions (i.e. special diet prep, medication and doctor appointment compliance, etc.) Family Matters also record indicators for intervention (weight, B/P, etc.).
  4. If the patient falls outside of normal parameters, an early call is made to the doctor to intervene, and the patient’s personalized plan is changed.
  5. The patient remains at home with a new plan and avoids readmission to the hospital.