Care Coordination
Care Coordination is done by the Registered Nurses employed by Georgia Health Services to montior the Personal care Homes. Our Nursing Staff supervises the care the clients receive in the Licensed Personal Care Homes. Clients on the CCSP or SOURCE programs receive visits from the RN twice per month, 14 days apart. Additionally, each client receives a post-hospital visit within 48 hrs of a discharge from a hospital. This level of montioring helps ensure the health and well being of our clients on the Programs.
Clients under the CCSP and SOURCE program have the services of the Nursing staff to help coordinate referrals with various Medical Specialists(Cardiologists, Pulmonologists, Neurologist..) as well as assitance with dealing with prescription issues. Nurses are required to review every clients Medication Assistance Record twice per month and at every post-hospital discharge. This medication monitoring helps detect if a client is over-medicated or if a medication might be contraindicated for the client.