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The Ezra Home Care Blog

Ezra Home Care Announces Safe Transitions Program

Sep 4, 2012 |
Posted by Jessica Zelfand |

Ezra Home Care's Safe Transition Program helps to reduce Avoidable Rehospitalizations

NEWTON, MA - Ezra Home Care a private home care company that offers specialized programs announces it's Safe Transition Program.

Patients face a significant risk of adverse events during the transition from the hospital to the home, therefore continuity of care is most critical during the patient’s transition from the institutional acute care setting to his or her home and community. “ A patient can have the best surgery in the world but without a safe transition and appropriate support at home, this patient may find himself or herself back in the hospital,” says Alex Schechter, Executive Director of Ezra Home Care.

Comprehensive home care has never been more crucial. According to the National Association for Home Care and Hospice, Home care is a cost-effective service for individuals recuperating from a hospital stay and for those who, because of a functional or cognitive disability, are unable to take care of themselves.

Ezra Home Care has developed a program to help patients ensure a safe transition home that will assist them in avoiding re-hospitalization. A member of our team will participate in the discharge teaching/instruction process at the Skilled Nursing Facility, Acute Hospital or Surgical Day Center with the patient.  We are available to provide incidental transportation, grocery shopping, prescription pickup, medication reminders, light housekeeping, home safety modification (to help with fall prevention and accidents), laundry and meal preparation for the first 24-48 hours post discharge as well as additional hours as needed. Ongoing communication among patients, caregivers, and providers and a comprehensive transitional care plan are crucial for successful medical management during this period.

Core Program Elements of The Safe Transitions Program:

  • Comprehensive client assessment and participation in discharge planning
  • Development and implementation of a client centered care plan
  • Assistance with medication management and behavioral management
  • Ongoing communication and collaboration with family members and other care providers
  • Personal care assistance with activities of daily living
  • Appointment escort and incidental transportation

FACT: Effectively executed care transitions are predictive of positive outcomes.  Poorly executed care transitions negatively affect patients’ health, well-being, and family resources and can potentially lead to avoidable re-hospitalizations. Experts estimate that 20% of persons hospitalized in the US are re-hospitalized within 30 days of discharge. According to an analysis conducted by the Medicare Payment Advisory Committee, up to 76% of re-hospitalizations in the Medicare population that occur within 30 days of hospital discharge are avoidable.  Many patients lack the support to assist with basic tasks to ensure a successful, safe discharge home.

For more information contact Ezra Home Care at 617-527-9000 or info@ezrahomecare.com


STARR (State Action on Avoidable Rehospitalizations)
National Asscoiation for Home Care and Hospice
Agency for Research Healthcare and Quality



TAGS: Elder Care Ezra News

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Jessica Zelfand

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