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Transitional Care Services

HOME LIFE ADVANTAGE

Helping You Stay at Home

Home Life Primary Care is dedicated to piecing together fragmented care when patients move from hospital or acute rehabilitation facility back to the home environment.

Transitional care begins when our social work team makes contact with the patient to ensure all connections with Home Health services, pharmacy, and other physicians are maintained.

 

Our medical provider follows up in home, via telemedicine, or at one of our convenient offices within 2 weeks of discharge for interim history and physical, prescription renewal, and more.

Grandmother and Granddaughter
Man on Walker

New prescriptions are written, health care orders signed, other appointments confirmed. Any necessary labs or diagnostics are ordered. We coordinate with your Home health aides or nurses. 

We also take care of the patient from top to bottom, including any wounds through our Home Life Wound Care team. These are just a few of the advantages of linking with Home Life Primary Care and Social Services:

  • Local providers available quickly. Offices in Brooklyn and Manhattan.

  • Home visits, telemedicine, or office.

  • HHA and VNA orders reviewed and signed promptly.

  • Work with most payors.

  • Advanced wound care services for simple or complex wounds.

  • Close ties with many of the Nursing and Rehabilitation facilities.

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