OneCare: A Collaboration of
Five Star Home Health Care and Heal!
OneCare aims to improve care delivered at home after a hospital stay and focuses on Congestive Heart Failure (CHF) because it is associated with a higher risk of returning to the hospital.
OneCare for Congestive Heart Failure: Your Pathway Home
Knowing what happened in the hospital is the key to good care when a patient transitions home. We get started early: medications and discharge instructions are reviewed, equipment and resources are mobilized, and Five Star Home Health Care and Heal schedule care appointments at the patient’s home.
The first week home from the hospital has the greatest risks. We’re here to provide extra support to the patient and to their primary care doctor during their recovery. With a Heal doctor visiting at home within days of discharge and health services provided by Five Star Home Health Care, OneCare is designed to reduce the risk of unnecessary readmission to the hospital.
Chronic conditions benefit from a long term outlook. Doctors, nurses and therapists will be coordinated to teach the patient and their family how to manage symptoms. Nurse Aides assist with daily personal care, meals and medication reminders. The Heal Hub monitors vital signs remotely to provide an ongoing connection with medical professionals.
Provider of physician services
- Get a doctor to your door when you are recovering at home
- Medical care, medication adjustments and blood tests from the comfort of your home
- Regular communication and coordination with your existing Primary Care Physician
- Available on-demand or on your schedule, 8am-8pm, 7 days a week, 365 days a year
- A simple and secure plug-in device that wirelessly sends vital signs to your Heal Doctor
- Monitors: heart rate, blood pressure, oxygen, blood sugar and weight
- Heal Doctor reviews weekly and can call to discuss readings with you
- Daily weight readings help doctors manage CHF
Provider of home health services
- Nursing care coordinated with doctor’s orders
- Physical, Occupational and Speech Therapy
- Medical Social Worker
- Full medication reconciliation and education on medications
- Chronic disease management to improve patient quality of life
- Bathing, dressing assistance and grooming
- Meals prepared with food restrictions
- Medication reminders, fall prevention and exercises
- Car transportation to appointments
- Monitor changes in condition and report them to clinicians
- Companionship and activites