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What Is Post-Acute Care?

June 8, 2021 | Blog

At Spring Hills we have a variety of care solutions, Assisted Living, Home Care, Memory Care, Skilled Nursing Care, and of course Post-Acute Care. Our Post-Acute Care program is designed to make sure that we get our patients home and feeling their best as fast, and as safe as possible. The continuum of care is very important and making sure that you receive the care that allows you to Live Happy is a great accomplishment to us. Here is all you need to know about Post-Acute Care. 

Definition of Post-Acute Care 

After hospitalization, injury, or illness many people are in need of continued medical care either at home or in a facility. Post-Acute Care is defined as the range of medical care services that support the individual’s continued recovery from illness or management of a chronic illness or disabilities. 

PAC programs provide services such as:

  • Hospice 
  • Outpatient social work 
  • Inpatient rehabilitation 
  • Outpatient rehabilitation 
  • Nursing 
  • Home health 

Why is it important?

Post Acute-Care has many benefits. People who are discharged to Post Acute Care programs or facilities are less likely to be readmitted to hospitals. PAC closely examines and monitors their patients’ complications or any changes of conditions. This improves the likelihood of catching any new or recurring problems earlier on so they can be treated accordingly. Some conditions Spring Hills Post-Acute Care treat conditions such as: 

  • Cardiac Care
  • Chronic Obstructive Pulmonary Disease & Pulmonary Care
  • Stroke Rehabilitation
  • Joint Replacement & Orthopedic Trauma Rehabilitation
  • Memory Care
  • Parkinson’s & Neurological Care
  • Wound Care
  • Hospice & Palliative Care

Spring Hills Post-Acute Care Program

Patients leaving the hospital following an acute illness, injury or surgery are vulnerable, and caregivers can be easily overwhelmed by all that is required for their loved one’s recovery. Our multidisciplinary care teams work with the patient, family and the patient’s own physicians to ensure that transitions are safe and that the recovery and rehabilitation plan is fully understood and followed, always according to the patient’s clinical needs and goals. Health care is never one size fits all. Our skilled nursing associates appreciate that a person’s recovery – body and spirit – is as unique as they are. Medication management, special dietary regimens, rehabilitation programs and additional services to support recovery are for the patient, not the other way around. Our ultimate goal is to help patients and their caregivers learn to protect and sustain recovery themselves, with confidence that our team is ready to support them every step of the way.

The Patient Journey 

Admission 

Population Health Assessment, medication reconciliation, risk stratification, rehabilitation evaluation and baseline set for care plan

Discharge 

Population Health integration, patient and family education, Home Care assessment, home pharmacy services, home Physician and remote monitoring

In-Patient Care

Multidisciplinary care conference, condition-specific care management, physician-led clinical rounds, concierge services and third-party satisfaction survey

Collaborative Clinical Programs 

All of our post-acute care programs rely on evidence-based clinical protocols for the best possible outcomes.

Getting patients home as safely and quickly as possible is an important part of our post-acute care and rehabilitation services. Our goal is not only for patients to recover, but also to prevent future complications through education and enhanced well-being. That’s why upon discharge, our team will also remain in touch to make sure patients feel secure back at home — giving them (and their families) all the tools they need for a safe transition back to their daily lives, including healing and disease management advice, proper nutritional guidance and relaxation techniques. To request more information and learn more click here.

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