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When a doctor orders home health care services for you or your loved one, there is typically a limit for how frequently and for how long you will receive it. To make sure that you will be able to meet your needs when your treatment ends, your social worker will begin discharge planning at your very first meeting.
Your VNSNY social worker will review your physician’s orders, and will incorporate these orders with the bio-psychosocial assessment. Your social worker will work with you and your caregivers to identify your individual needs, and to develop a plan of care that meets them now and as they change as your condition improves.
The goals of successful discharge planning are to:
Your social worker will help to coordinate care with all members of your home health care team to ensure safe and timely discharge of home care. At VNSNY, we want you to be satisfied with our services every step of the way.
For more information about VNSNY’s social work services, including discharge planning, please call us at 1-800-675-0391.