JABA’s Care Transition Coaches Help Independent Seniors Transition Safely from Hospital to Home

At Care is There Geriatric Care Management we are excited to see JABA helping senior citizens transition safely and successfully from hospitals and skilled rehabilitation centers back to their  their own homes and independent living communities.

Different from other services like home health or physical therapy, the program coaches its participants to manage their medical conditions and connects them to helpful community resources with the goal of preventing unnecessary return trips to the hospital. 

If you, your loved one, client or resident is currently in the hospital or a skilled rehabilitation center or is scheduled for admission soon, you can contact JABA now to plan a successful transition home! Simply contact Care Transitions Coordinator, Mary Ellen Hasenfus at mhasenfus@jabacares.org, or by calling 434-817-3556. You may be eligible to receive the services at no charge, and unlike Medicare-based services, you don’t need to be homebound to qualify for the program.

Support provided over a one month period from a JABA Care Transitions Specialist includes:

• A visit while you are in the hospital to help you plan for discharge.
• Visits to your home within 1 to 3 days of discharge to review your medications, identify red flags that you need medical assistance, schedule follow-up medical appointments, and prepare for your doctor visit. Support services may extend over a longer period as determined by your Transitions Specialist.
• Weekly calls over the next few weeks to continue supporting you while you recover.

Areas served: City of Charlottesville, Counties of Albemarle, Fluvanna, Louisa, Greene, and Nelson.

Download the Care Transitions Fast Facts flyer here.

For more articles like this, see: Long Distance Caregiving, Resources for Central Virginia, Aging in Place, Care for the Caregiver.

Know someone who worries about their elderly parent in Charlottesville, Staunton, or Harrisonburg Virginia? Care is There Geriatric Care Management can help! Have them contact us for a free consultation: 434.326.5323 or info@careisthere.com.

For more information about our services, and to read testimonials from our clients, visit our website. Also, view this short video about our care management services.

Elizabeth Swider, Geriatric Care Manager, Certified Senior Advisor
President, Care is There Geriatric Care Management
Support for independent living and long distance caregiving; assisted living enhancement