A grant from the UniHealth Foundation has enabled Casa Colina Hospital and Centers for Healthcare to implement a new navigation service for patients who are identified as high risk for complications upon discharge from the hospital.
The program, titled “Promoting Discharge Success with a High-Risk Transitional Navigation System,” specifically addresses potential gaps in services experienced by patients who made significant progress in medical recovery and rehabilitation during their stay at Casa Colina but are having difficulty with maintaining them upon discharge, explains a media release from Casa Colina.
“Patients make incredible gains while they are at Casa Colina. However, their functional abilities are often not maintained after discharge. This program will aim to ensure continued success for all patients, especially those at higher risk for negative outcomes,” says Emily Rosario, PhD, director of the Casa Colina Research Institute, who will oversee the program and track its outcomes.
Rosario will track among patients discharged from Casa Colina, per the release, include: frequency of patients at post-discharge experiencing urinary tract infections (UTIs), pressure ulcers, pneumonia, depression, loss of functional gains made in rehabilitation and other complications that lead to re-hospitalizations, limitations in personal and life opportunities, decreased quality of life and increased non-productive behaviors (drug abuse, etc).
Activities in place to help minimize these outcomes include: care coordination, psychosocial and medical support and providing connections to community resources for financial assistance, transportation, family needs, translation services and referrals for individual and group therapeutic support, weekly/monthly educational sessions and community activities.
For more information, visit Casa Colina Hospital and Centers for Healthcare.
[Source: Casa Colina]