At Kariah’s Caring Hands, Healing Hearts, we specialize in seamless transition care management for patients moving from acute care hospitals, long-term acute care hospitals, skilled nursing facilities, inpatient rehabilitation facilities, hospital observation status, or partial hospitalization.
Our dedicated team ensures a smooth transition by coordinating care plans, facilitating follow-up appointments, and providing personalized support.
We focus on reducing readmissions, improving health outcomes, and enhancing overall well-being. With our compassionate approach, we bridge gaps in care, ensuring that each patient receives the attention and resources needed for a successful recovery and a return to their daily life.
Professional Care You Can Count On
- Kariah will contact the patient or their caregiver within 2 business days after discharge: By phone, email, or in person until we succeed.
- Kariah will do a follow-up visit within 7 or 14 days after discharge: based on the complexity of the medical care needed.
- Review and manage medications by the time of the face-to-face visit.
- Get and review the discharge information from the hospital.
- Check if more tests or treatments are needed and follow up on any pending tests.
- Teach the patient, family, or caregiver about the care and next steps.
- Set up or confirm referrals to other providers or services if needed.
- Help schedule follow-up visits with doctors or services if needed.
