Our Hospital to Home Bridge program focuses on bridging hospital core measures and disease management to the home setting, providing seamless continuum of care.

Our Services
  • • Bridging hospital core measures and disease process and management in the home setting
  • Implement clinical pathways in a home health care approach in order to provide standardized care plans for achieving desired outcomes and reducing re-hospitalization
  • Core measures: CHF, COPD, Pneumonia, Myocardial Infarction, Post Surgical Complication, and OM
  • Collaborative relationships with other health care providers in the community in order to customize patient’s needs (IV Infusion, DME, Physician House Call) at home.
Our Objective
  • Improve patient outcomes and quality of life
  • Implementation of an evidence-based, condition-specific, and timely care program to empower patients and their caregivers on illness management
  • Assist hospital and other healthcare providers in coordination of patient’s needs for discharging to home setting. Building better interfaces within the community
  • Bridging hospital based core measures to home health based core measures
  • Enhancing patients’s quality of life and reducing negative outcomes such as undue hospital readmission, medication adverse reaction, falls, etc.

Download our PDF Program

Attachment Size
Hospital to Home Bridge Program 66 KB