{"id":949,"date":"2018-03-02T04:05:34","date_gmt":"2018-03-02T04:05:34","guid":{"rendered":"http:\/\/www.careplangcm.com\/?page_id=949"},"modified":"2025-10-23T03:02:28","modified_gmt":"2025-10-23T03:02:28","slug":"rehab-home-transitions-program","status":"publish","type":"page","link":"https:\/\/www.careplangcm.com\/index.php\/rehab-home-transitions-program\/","title":{"rendered":"Rehab to Home Transitions Program"},"content":{"rendered":"
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\"Rehab\"
\nRehab to Home
\nTransitions Program<\/h1>\n<\/div><\/div>
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\"Rehab\u00a0Rehab to Home Transitions Program<\/h2>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>

There are many benefits to healing at home. However, older adults and their families are often unprepared for the challenges that come with it. Therefore, Careplan’s RN’s and Licensed Social Workers ease those challenges. They make the day-to-day routine easier to manage. This allows older adults to focus on the most important thing \u2013 getting better.<\/h4>\n

Why Should You Consider the Rehab to Home Transitions Program?
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Half of Medicare patients who are re-hospitalized within 30 days have not seen a doctor during the entire month. This is according to a 2009 study in The New England Journal of Medicine<\/em> of almost 12 million Medicare beneficiaries.<\/p>\n

Patients forget up to 80 percent of what health-care providers tell them. Consequently, what they do remember is wrong almost half the time. This is according to a 2003 study in the Journal of The Royal Society of Medicine.<\/em><\/p>\n

The study found that nearly 20 percent of people 65 and older on Medicare are readmitted within 30 days of their initial rehab discharge. (reported in The New England Journal of Medicine)<\/em><\/p>\n

Nearly 20% of 30-day re-admissions are likely preventable. In addition, rehab readmission rates are, in large part, influenced by other factors outside of the rehab domain. These include poor social support, poverty, and access to outpatient care. This is according to a study in the US National Library of Medicine National Institutes of Health<\/em>.<\/p>\n

References:
\nThe New England Journal of Medicine<\/em><\/a>
\nJournal of The Royal Society of Medicine<\/em><\/a>
\nUS National Library of Medicine National Institutes of Health<\/em><\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div>

The Rehab to Home Program consists of a total of 2-3 Geriatric Care Manager (GCM) visits to the senior’s home.\u00a0<\/strong><\/h6>\n

Bridget Ritossa<\/a>, LSW, CMC, Careplan’s Rehab to Home Care Manager, worked for many years in hospitals and Rehab settings as a discharge planner. Bridget understands what’s necessary for success upon discharge.<\/em><\/p>\n