Hospital to Home Transition Care

Medical staff of doctors and nurses

Transition of Care (TOC) can be any transfer your loved one makes between a facility such as a hospital, a skilled nursing facility, an assisted living community, or their home. When you are released from the hospital, you don’t stop needing care. For older adults, continuing to monitor care is key to ensuring full recovery.

ComForCare Transition Care Assistance

Hospitals sometimes discharge patients with very little notice, leaving families to scramble to solve immediate needs like transportation home and transitioning into a new routine. If you live out of town or responsibilities don’t allow you to transport your family member home, ComForCare can help.

We can provide one-time care services or continued care plans. Care plans include a nurse’s evaluation of needs, a personalized schedule and routine based on the evaluation, and fall prevention and home safety checks.

Hospital to Home Package

Our popular "Hospital to Home" package assists those who need a ride home and need help getting settled in by providing:
  • An experienced, reliable caregiver who meets your loved one in the hospital room or discharge area
  • Transportation home with stops for picking up prescriptions or groceries
  • Meal preparation
  • Light housekeeping and laundry
  • Help receiving and disseminating discharge plans
  • Bed tuck service
  • A debriefing phone call to the family

Continued Care Plans

Hospitalization of elderly individuals generally occurs due to a medical event, condition diagnosis, or injury. In many cases, the reason for the hospitalization is something that affects the individual’s ability to perform regular daily activities of living for at least a short period of time through recovery.

In some cases, the condition or injury affects physical or cognitive ability in a progressive or permanent way. When these situations occur, ComForCare can craft continued care plans to help meet your loved one’s needs on a continual basis.

ComForCare’s continued care plans include assistance with the following tasks in addition to the services offered in the “Hospital to Home” packages:
  • Condition monitoring and management
  • Transportation and errands
  • Medication reminders
  • Incontinence care
  • Hygiene needs
  • Pet care 

Round the Clock Care

If seniors require supervision and assistance 24 hours a day following hospital discharge, ComForCare is happy to help. This is often the case when injuries or illnesses affect mobility or when strong medication impairs cognitive functions. 

This may also be beneficial on a long term basis for seniors with advanced dementia or debilitating conditions that affect physical abilities, allowing your loved one to stay in the comfort of their home while receiving the care they need. ComForCare will work with you to determine whether continual 24 hour care would benefit your loved one.

We also offer TOC packages for people of all ages who need transportation and care after an outpatient procedure. 

CONTACT US Call a ComForCare Representative Now 800-886-4044