Partners In Care Foundation Inc
Partners In Care Foundation Inc
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More about this organization
Mission
Partners aligns social care and health care to address the social determinants of health and equity disparities affecting diverse, under-served and vulnerable populations.
About
Care Coordination- Partners in Care Foundation's short-term services and supports help keep high risk patients stabilized at home. Our Care Transitions program works with physicians, hospitals, health plans and skilled nursing facilities, by providing health coaches to help patients make their best possible recovery after hospitalization. That includes coaching patients to make personal plans for better health, and connecting them to community-based services that stabilize them at home and avoid hospital readmission. Our complex care coordination provides health coaching assistance for up to 90 days for people with the most complicated health challenges. Our HomeMeds program inventories medications and coordinates with a pharmacist, the patient and their doctor to identify and resolve medication-related risks. Our Partners At Home program provides care coordination and care transitions services.
