Hospital 2 Home Care Transitions

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What is a Care Transition?

What is a Care Transition?

To safely assist, support and provide resources for individuals and caregivers as they return home from a hospital or rehab stay.

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Respite Coaching

Respite Coaching

A trained Respite Coach provides clients and caregivers a period of rest, relief, self-care and assistance.

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Licensed Social Workers & Case Managers

Licensed Social Workers & Case Managers

Our team provides care coordination, fast-acting response & crisis intervention while working directly with professionals and community resources.

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What is Hospital 2 Home?

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Hospital 2 Home was brought to life in response to the ever-increasing need for community support and interventions to help adults and those with chronic medical conditions live at home instead of being institutionalized.

Hospital 2 Home (H2H) Care Transitions is designed to aid and support adults with memory loss, chronic illness, or disability and their caregivers, in making a smooth transition from hospital to home. This transitional care program provides care coordination, crisis intervention, and respite caregiving in person, virtually, and via telephone. We are a dedicated team that works directly with professionals in the community while providing caregivers with much-needed support and resources.

The benefits of Hospital 2 Home:

  • MEDICAL stability (short-term & mid-term)
  • REDUCED caregiver burden
  • ACCESS to long-term care resources
  • INCREASED patient engagement
  • IMPROVED health outcomes
  • COORDINATION in care

H2H Program Philosophy

The H2H team leads with kindness to become an advocate who stands alongside the client and caregiver during a stressful and vulnerable time.

What Next?

Click the Online Referral Form tab above to submit a referral directly. Or scan the QR below to download the form and fax or email it to the H2H team!

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