Care Transition

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We use our highly successful Care Transition Program to help reduce hospital readmission rates. When we receive a referral from you for home health services, a warm transfer visit is made to the patient before they transfer to home or facility. A hospital readmission risk assessment is completed and the care team is alerted to the triggers which may result in readmission as well as explaining to the patient what to expect from the home health experience. Please see the attached fact sheet for more information.
Our Service area includes; Winchester City, Frederick, Clark, Warren and Shenandoah Counties. As your Liaison, I visit your facility weekly and also complete the Care Transitions. So if you have questions or issues regarding our mutual

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