At-Home Care Solutions for Medically Complex Populations
We help patients stay healthy at home after discharge from a hospital or post-acute care setting. Continue Care provides a continuum of care, including skilled nursing, personal care and pharmacy services to manage the full spectrum of complex patients’ health. We are with our patients every step of the way to ensure they receive the right care at the right time – when they need it most.
Improving Outcomes and Lowering the Total Cost of Care:
|Longitudinal Care Navigation – Continuous nurse-led patient oversight and health care provider engagement assuring care planning, transitions of care management, and escalations of care are appropriately monitored and executed.|
|Medication Fulfillment – Easy to use multi-dose adherence packaging by administration time, delivered to home via closed-door mail-order pharmacy.|
|In-Home Nursing Services – Skilled Home Health services as well as holistic in-home nurse assessments, addressing patient health and wellness, activities of daily living, and in-home medication reconciliation.|
|Long-Term Services & Support – Intra-referral capability within our personal care network to assure a customized, integrated approach addressing social determinants of health as well as providing patient choice.|
|Medication Therapy Management – Continuous consultant pharmacist med regimen reviews provided both at start of service and as necessary with changes of condition.|
|Access to On-Call Nurse Consultants – Patient and family inquiries including aftercare program with 24/7 availability|
Our Direct Pharmacy Services:
• Deliver prescription medications directly to patient’s homes assuring timely, accurate access
• Ensure medication adherence
• Provide medication therapy management, formulary optimization, and ongoing review
We provide the continuity of care that patients need to stay healthy at home. We offer enhanced benefits to high risk patients with chronic conditions and multiple comorbidities. Our high touch care coordination increases quality of care, proactively minimizes adverse events and reduces all-cause avoidable hospitalizations. We are dedicated to providing innovative solutions that keep patients healthy at home, improving outcomes and lowering the total cost of patient care.