Health Coach

TRANSITIONAL CARE: HEALTH COACH PROGRAM

WHAT IS IT?

Peoples Home Health provides a specialized Health Coach program to assist patients transition from Hospital to Home.

A specially trained nurse (Health Coach) from Peoples Home Health will begin working with the patient and family prior to hospital discharge. Following hospital discharge, the Transitional Care Health Coach will be in direct contact with physician(s) and will be available to accompany patients during their first follow-up visit with their physician. Improved communication and coordination of care between the Hospital, primary care physician and other healthcare providers.

  • Patient Testimonials - provided by Deyta©

    I can't thank you enough for taking such good care of me. I will always be grateful to you. Thank God for special angels.
    Priscilla,Patient

  • Patient Testimonials - provided by Deyta©

    This is my second time with your agency. I requested this agency this time. I love your staff. They are kind and thorough and genuinely care for you. I will be using you again in the future. Thank you. Y'all are a godsend.
    Lisa,Patient

  • Patient Testimonials - provided by Deyta©

    My wife and I are happy and very grateful for the service offered by the agency. Thanks.
    Cesar,Patient

  • Patient Testimonials - provided by Deyta©

    All of the people associated with my home health care were very professional, kind and caring. Thank you. The care I received was excellent, please thank all of them.
    Lucille,Patient

  • Patient Testimonials - provided by Deyta©

    This is the fifth time i have used your agency and if I have to use someone again, i would contact you. I have recommended you to a lot of people.
    Deloris,Patient

  • Patient Testimonials - provided by Deyta©

    All home health care nurses that came to my home were very professional and caring. They were very informative about my type surgery, my meds, and showed overall concern about my well-being, including emotional/mental health.
    Mary,Patient

  • Patient Testimonials - provided by Deyta©

    I greatly appreciate the services given to me by nurses and home rehab. I have already requested same company for my next surgery. Thanks again!
    James,Patient

  • Patient Testimonials - provided by Deyta©

    Every nurse, therapist and aide was very professional and helpful. They helped me in many ways to cope with age and restrictions that are present in various illnesses (high blood pressure, etc.)
    Elizabeth,Patient

  • Patient Testimonials - provided by Deyta©

    Thank you so much for the wonderful care you provided to my dad. We will definitely use your agency in the future.
    ,Patient's daughter

  • Patient Testimonials - provided by Deyta©

    The Physical Therapist's are the best I have ever dealt with. They are a huge asset to your establishment. All of the nurses I saw treated me with care, concern, and respect. Overall, great home health care! Recommended you to a neighbor; she is as pleased with your staff as much as I am.
    Jacquelyn,Patient

  • Patient Testimonials - provided by Deyta©

    All of the nurses were friendly and very thorough. We would recommend them highly to family and friends. Thank you.
    Albert,Patient

  • Patient Testimonials - provided by Deyta©

    Thank you for caring about my health. The services I received were excellent. I will use y'all again. You are number 1! People that care about people and their health.
    Wanda,Patient

  • Patient Testimonials - provided by Deyta©

    I am a retired nurse and I have a tendency to evaluate care from fellow professionals. My care team was awesome, informative, challenging and very kind. Always positive and encouraging.
    Annmarie,Patient

  • Patient Testimonials - provided by Deyta©

    I've had home care two times in my lifetime and find Peoples Home Health the best I've had. Highly recommend them to other people.
    ,Patient

  • Patient Testimonials - provided by Deyta©

    We have used Peoples Home Health many times. We are always impressed by all the personnel who have worked with my husband. The Speech Therapist has been especially helpful.
    ,Patient's Wife

  • Patient Testimonials - provided by Deyta©

    I am very grateful to the home health agency staff for their kindness and the care they gave me. Thank you all very much.
    Dorothy,Patient

  • Patient Testimonials - provided by Deyta©

    I have the best nurse in the world.
    Sylvia,Patient

  • Patient Testimonials - provided by Deyta©

    They made me feel right at home.
    Elva,Patient

  • Patient Testimonials - provided by Deyta©

    Your agency has wonderful caring people.
    Brenda,Patient

  • Patient Testimonials - provided by Deyta©

    The entire staff was caring and professional. My concerns were addressed immediately.
    Mary,Patient

What will be addressed?

phh hc2During the time you spend with your personal Health Coach, the following will be addressed:

  • Personal Health Record (PHR) will be initiated
  • Self-Management Emergency Guide will be discussed which includes “red flags” or those signs that may indicate your condition is worsening and how to respond
  • Medication Self-Management Guide will be developed and reviewed
  • Follow-up MD appointment will be arranged within 7-14 days post hospital discharge
  • Telephonic outreach daily x 7 days post Hospital discharge and ongoing as indicated
  • Cardiocom results reviewed daily on those patients requiring telemonitor equipment

 

Expect to:

  • By participating in this program patients can expect to:
  • Learn about the necessary tools to better manage your healthcare needs
  • Increase overall knowledge of medical conditions and medications
  • Reduce unnecessary rehospitalizations or need for emergency care
  • Identify signs and symptoms that might indicate the need for medical treatment or evaluation
  • Receive in-home specialized care delivered by a Transitional Care Health Coach