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Transitional Care
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Transitional Care
Our Transitional Care services support patients transitioning from hospital to home, focusing on follow-up care and medication management to reduce readmissions and promote recovery.
Did You Know?
Transitional care reduces hospital readmissions by 20% or more, ensuring that patients receive the support they need after discharge (American Journal of Managed Care). Proper follow-up and medication management are key to a successful recovery.
What to Expect:
During transitional care, our team will help you navigate the transition by coordinating care with your primary provider, reviewing discharge instructions, and arranging follow-up appointments. We focus on ensuring a smooth recovery and preventing any complications post-hospitalization.
Services Include:
- Post-discharge planning and support
- Medication reconciliation and management
- Health status monitoring at home
- Coordination with primary care and specialists
- Education on self-care techniques
Post-Visit Care:
After your transitional care appointment, our team will:
- Monitor Recovery Progress: Conduct regular check-ins to support your recovery process.
- Coordinate Follow-Up Visits: Arrange follow-ups with primary or specialty care providers as needed.
- Adjust Care Plans: Modify treatment plans as necessary based on your progress at home.
- Offer Support for Questions: Remain available for guidance on managing care and medications after hospital discharge.
Vital Medical Associates P.C. is here to ensure you have the resources and support needed for a successful transition from hospital to home.
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Book Now & SecureYour Health Here
- 701 Lee Street, S-150, Des Plaines, IL 60016
- +224-985-1214
- Info@vitalmedicalassociates.com
- +224-285-1214
FAQ
Frequently Asked Question
What services can be provided during a home visit?
We provide a wide range of services during home visits, including routine check-ups, chronic care management (CCM), remote patient monitoring (RPM), wound care, pain management, mental health consultations, podiatry services, annual physical exams, immunizations, and insurance-required exams.
Are mobile X-rays, ultrasounds, and lab services available at home?
Yes, we offer mobile X-rays, ultrasounds, and phlebotomy (blood draws) at home, allowing us to perform necessary diagnostic tests without the need for you to travel to the clinic.
Can sleep studies be done at home?
Yes, we provide home-based sleep studies to diagnose sleep disorders like sleep apnea. In-clinic sleep studies are also available if you prefer.
What is Chronic Care Management (CCM) and is it available during home visits?
Yes, CCM involves ongoing care for patients with chronic conditions like diabetes, heart disease, or hypertension. It includes regular check-ins, medication management, and personalized care plans, all available at home.
Can Remote Patient Monitoring (RPM) be done at home?
Yes, we offer Remote Patient Monitoring (RPM) for vital signs such as blood pressure, weight, pulse oximetry, and glucose levels (CGM for diabetics) to help manage chronic conditions from home.
Are mental health and psychiatric services available during home visits?
Yes, our mental health team, including psychiatrists, offers consultations, therapy, and medication management during home visits to help address mental health needs.
Is wound care available during home visits?
Yes, we provide comprehensive wound care for chronic wounds, diabetic foot ulcers, pressure ulcers, and post-surgical wounds, delivered directly to your home.
Can I receive pain management services at home?
Yes, our pain management doctor can visit your home to provide treatments, including medication adjustments and specific pain-relief procedures tailored to your needs.
Can podiatry services be provided at home?
Yes, our podiatrist can visit your home to provide foot and ankle care, including diabetic foot care, treatment for infections, and chronic pain management.
Can I receive physical therapy and skilled nursing services at home?
Yes, we collaborate with in-network agencies to offer physical therapy and skilled nursing services at home, helping with rehabilitation, wound care, and medical treatments.
How do I know if I’m eligible for a home visit?
Home visits are typically for patients who are homebound or have mobility issues. You can contact our office to discuss eligibility based on your medical and mobility needs.
Will insurance cover my home visit, and how do I schedule one?
Many insurance plans, including Medicare and Medicaid, cover home visits. To verify your coverage and schedule a visit, call our office, and we will assist you in setting up an appointment at a convenient time.
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