Working hand in hand
Avalon works in close collaboration with our hospital (acute care) partners. We work together to design specialty programming and provide training opportunities with an aim at making transitioning between levels of care as seamless as possible. Our technology teams work together to integrate electronic health records to help ensure we have accurate and complete medical information.
Our team of physicians, nurse practitioners and care professionals work together to provide around the clock care. Our providers focus on:
- • Facilitating a good transition from hospital to Skilled Nursing Facility
- • Adjusting and optimizing the resident’s medical management plan
- • Monitoring clinical signs and symptoms associated with a resident’s current condition
- • Recognizing and intervening early with change in condition
- • Overseeing medication management and education
- • Assessing the resident’s plan of care and making adjustments as needed
- • Planning care coordination needs as residents transition home or to a lower level of care
- • Answering resident and family questions
Benefits of Avalon Health Care Model
Our Care Management model is designed to intervene prior to common post-discharge challenges. Our goals are to ensure:
- • Reduced hospital readmissions
- • Quicker patient recovery time
- • Timely follow-up after a change of condition
- • A positive patient experience