About Our Program
Since 2008 our clinical team comprised of registered nurses, social workers and care coordinators with the support of our medical director has provided both in-home and telephonic support, care coordination and early identification of problems for individuals who reside in the community and are served by our specialty program. We work with the individual’s personal physician and other healthcare providers to achieve smooth transitions between healthcare settings, help coordinate the delivery of care and support in the community so that individuals are able to remain in their own home while reducing unnecessary hospitalizations and emergency room visits.
As always the Nurse Practitioner is outstanding. She takes great care of my mother and she is wonderful at communicating and keeping me updated when she visits my mom. I am very satisfied with Family Choice. Thank you ~ Son, of Patient
Our Community-Based Care Management Program provides:
- An initial telephonic or in-home assessment by a health care professional to review medical status, medication management, safety, fall risk, and any other concerns that may impact the individual’s health.
- Based on the initial assessment, additional in-home or telephonic visits may be scheduled.
- If indicated, a social worker will be part of the care management team to make referrals for community-based support programs and resources.
- Support and education for treatment options, medications, as well as understanding around changes in condition for the individual and those who care for them.
Because we live out of state we feel confident that [my mother] is getting good care - something we are thankful for. ~ Daughter, of Patient