Transitions of Care

A transition of care (TOC) is any transfer someone makes between a facility such as a hospital, a skilled nursing facility, an assisted living community or their home. It's important to continue monitoring care once released from a facility to help ensure a full recovery, especially for older adults.

At ComForCare Home Care, we have a variety of processes in place to help clients successfully transition home after a hospitalization or outpatient procedure. Our Transitions of Care Program can provide one-time care services or continued care plans, updating them as needed.
Hospital-to-Home Package
Hospitals often discharge patients with little notice, leaving families to scramble to solve immediate needs like transportation home and transitioning into a new routine. If you live out of town or responsibilities don’t allow you to transport your family member back home, ComForCare Home Care can help.
Our popular "Hospital-to-Home" package assists those who need a ride home and help getting settled in. This package includes:
  • An experienced, reliable personal support worker who meets your loved one in the hospital room or discharge area
  • Transportation home with stops for picking up prescriptions or groceries
  • Meal preparation
  • Light housekeeping and laundry
  • Bed-tuck service
  • A debriefing phone call to the family 
Continued Care Plans
For individuals who need continued monitored care after they are discharged, we can: 
  • Obtain and review hospital discharge instructions and incorporate these instructions into the client-specific care plan
  • Pick up prescriptions, provide medication reminders and help the client adhere to their prescribed regimen
  • Educate the client, caregivers and family members on “red flag” warning signs for chronic conditions
  • Assist clients with attending follow-up medical appointments
  • Communicate with the client’s discharge planner, health coach or other health care professionals and their family members
  • Assist with bathing, grooming and personal hygiene
  • Help with meal preparation, laundry and light housekeeping
  • Identify trip hazards and make home safety recommendations
  • Provide companionship
With ComForCare at your side, you will feel confident in the services you or your loved one receives. For more information about our Transitions of Care Program, please contact us today at 800-886-4044!
*Services vary by location. Please contact your local ComForCare to see what services are available in your area.  

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