COORDINATED CARE HEALTH CENTER

Transitioning from hospital stay to home can be difficult because there is a lot of new information. A special team is formed to care for patients once they leave the hospital and transition back to home care.

Who is on the Team?

  • Physician – your doctor is your coordinator of care and works with the team to make certain you’re getting the best care possible
     

  • Registered Nurse (RN) or Licensed Vocational Nurse (LVN) – a registered nurse helps make certain you have the resources at home to make a full recovery
     

  • Pharmacist – You may have new medications as a result of your hospital stay, so it’s important to understand why the medications were prescribed, how to take them and for how long, and how they may interact with current prescriptions
     

  • You – when you leave the hospital, there is a lot of new information and it can be confusing

    • The team meets with the patients for (up to three) 30-minute consultations, three to seven days after being released from the hospital.
       

Disclaimer: Some services may require prior authorization, and provision is subject to member benefits and health plan or CMS (Center for Medicare and Medicaid Services) coverage criteria.