What is Health Coach | Transitional Care?
Transitional Care is a specialized 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 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.