There is a growing need for the continuum of care for patients recovering from surgery or an illness.
Bridging the gap between an illness and recovery can require additional help. NextStep Care provides coordination and support that promotes effective care transitions.
Transitional care is needed when a patient moves from one healthcare setting to another or to their home. Some individuals may need a higher level of post-acute care, along with individualized care management, as they recuperate. NextStep Care strives to assist patients to navigate the road to recovery.
Review hospital discharge instructions
Develop an individualized care plan
Review current or new medications
Discuss steps to avoid a hospital re-admission
Facilitate follow up with primary care physician after discharge
Provide information on community resources