Your Individualized Plan of Care:
Every client receives an individualized Plan of Care. It’s our way to ensure you receive the service you need and everyone is prepared for the care that needs to be delivered.
- Step 1: Certified Nurse Assessment: Our Certified Nurse and Care Coordinator visits each client and/or family member at their place of residence to evaluate condition, discuss options, and develop a Plan of Care.
- Step 2: Plan of Care: We incorporate all the orders and recommendations from your physicians, case managers, healthcare providers and our own initial assessment in order to develop an effective Plan of Care. This plan will describe all the services required, the proposed frequency, cost of each service, potential equipment and supplies needed and the possible payment sources.
- Step 3: Caregiver Matching and Assignment: Every time a new caregiver is assigned to a client, he or she receives a copy of the plan of care and discusses it with a nurse or case manager. In some complex or delicate cases (such as advanced dementia, severe mobility impairments, autism or post-surgical care), the caregivers undergo complementary training provided by our nurses, which refreshes important case-specific techniques or care aspects that must be observed.
- Step 4: Ongoing Management and Check-Ins: Plans of care are continuously updated, as a consequence of supervisory visits, experience accumulated on the case by our caregivers, and interactions with the client, healthcare professionals or family members. Every update is shared with all caregivers assigned to a client, and case managers follow up with individual aides to ensure adherence to the updates.