The Area Agency on Aging 8 (AAA8) and the Memorial Health System have partnered together to offer a free service to assist patients when they are sent home from the hospital.
The Care Transitions program is designed to assist patients as they transition from the hospital to home and help reduce recurrent hospitalizations by providing key resources. Participating patients are supported by a Transitions Coach for four weeks after discharge. The goal is to empower patients and caregivers with tools, skills and information to develop long-lasting health management skills.
The Transitions Coach works with the family to identify caregiver supports and review key needs as well as to refer to a variety of community resources. Key components also include a close monitoring of medication management, getting patients to key follow-up medical visits and keeping good records.
The Care Transitions program is supported by the Southeast Ohio Aging & Disability Resource Network (ADRN) and provided at no charge to patients. For more information on the AAA8 or ADRN, contact 1-800-331-2644 or visit www.areaagency8.org.