Transition of Care Team

The Centers for Medicare & Medicaid Services (CMS) defines a transition of care as the movement of a patient from one setting of care to another. Settings of care may include hospitals, ambulatory primary care practices, ambulatory specialty care practices, long-term care facilities, home health, and rehabilitation facilities.

  • Transition of care teams reduce the risk of adverse events due to the potential for miscommunication as responsibility is given to patients in the recovery stages.

  • Hospital discharge is a complex process representing a time of significant vulnerability for patients.

  • Safe and effective transfer of responsibility for a patient’s medical care relies on effective provider communication with patient comprehension of discharge instructions

Palmetto Southern Comfort Transition of Care Team provides assistance with your return home.

Service Packages allow customization of  short term care for as short as one day care.

  Transition Care 

  •  Healthcare evaluation

  •  Medication pick up from pharmacy

  •  Review of discharge instructions

  •  Transportation from medical facility to home

  •  Meal pickup/preparation

  •  Bedside care to ensure safety and comfort

   Daily Care 

  •   Healthcare evaluation

  •   Meal preparation/activity reminder up to 2 times a day

  •   Medication reminder/assistance up to 2 times a day and/or wellness checks

  •   Stand-by assist with personal grooming and dressing up to 2 times a day

  •   Stand-by assist with shower up to 1 times a day

  •   Emergency response and first aid

  Weekly Care 

  • Healthcare evaluation

  • Stand by assistance with personal grooming and dressing up to 2 times a day

  • Meal/activity reminder up to 4 times a day

  • Escort/transport to dining for meals or to activities within 10 mile up to 3x a week

  • Stand by assistance with shower up to 3 times per week

  • Medication reminder/assistance up to 4 times per day 

  • Resident/Toileting check every 2-3 hours

  • Emergency response and first aid

Call us today on 803-661-0113

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© 2018 by Palmetto Southern Comfort Homecare.