Subacute care is designed to treat patients who are recovering from an acute illness, injury or debilitating medical condition, who need extensive rehabilitation services and/or medical treatment. It is more intensive than traditional nursing home care but less intensive than hospital care. Our Network facilities have the capabilities to provide both the technology and human care that is needed to ensure a quick and full recovery and return the patient return to previous functionality as quickly as possible.
These services are provided through our sister professional organization, GeriNet Medical Associates. GeriNet is a specialty network for post-acute and long term care physician services. Our vision is to improve the quality of life for nursing home and home bound patients through an integrated and focused approach. The company employs and sub-contracts with board-certified internal medicine/family practice physician and nurse practitioner teams in the post acute setting. By providing an effective and accessible system of care, we can prevent unnecessary referrals to specialists and to emergency rooms. The medical team is available 24 hours per day to support the clinical care process.
GeriNet Medical Associates currently provides quality patient care in more than 360 skilled nursing facilities throughout Southern California. In addition to physician/ nurse practitioner coverage, GeriNet physicians are Medical Directors in 10 skilled nursing facilities in Greater Orange/Los Angeles counties.
The post acute physicians and nurse practitioners of GeriNet perform the following functions:
Ensure patients receive the appropriate level of care by:
Providing a system to assure that physician/nurse practitioner visits are appropriate to the patients’ needs and comply with regulatory guidelines.
Providing 24 hours a day/7 days a week telephone triage and case management.
Perform all functions associated with the care management of patients in the Post Acute/Skilled Nursing setting. These include:
Completing an admission assessment.
Managing SNF patient re-hospitalization to ensure appropriateness and quality of life considerations.
Formulating and implementing a treatment plan and concurrently initiating discharge planning in conjunction with the client’s utilization management team including high risk Program.
Coordinating and facilitating utilization management with the client’s utilization and case management team.
Review appropriateness in level of care (skilled vs. custodial), length of stay and bed days
Coordinate Ancillary services such as Pharmacy, rehab, Lab/X-ray
Coordinate appropriate use of specialty consults and referrals
Initiating communication with and informing family members of patient condition and treatment plan and involving the family in the discharge planning process.
Reviewing and discussing patient treatment plan and condition with the clients utilization management team.
Managing the ordering, timely completion and reporting of all patient studies, tests and procedures during the course of post acute stay.
Informing the primary care physician, medical group and health plan verbally and/or in writing about patient discharge, and providing each party a copy of the written discharge instructions.
Document quality/performance in achieving the stated objectives by:
Providing clients with quarterly trended quality/performance reports measuring:
Effectiveness of care - discharge reports on patients
Efficiency of care – utilization and cost performance
Perception of care – satisfaction surveys
Conducting monthly performance review and analysis
HESS’s nurse practitioners will provide home care for the high risk homebound patient in conjunction with the patient’s primary care provider. High risk patients are defined as those patients with multiple organ system disease with recurrent exacerbations, hospitalizations, ER visits, and skilled nursing facility admissions. The goal is to improve care for the at-risk, vulnerable patient population and reducing unnecessary emergency room visits, hospitalizations, and readmissions by managing the patient in their home.
Available Services:
Nurse practitioner visits and 24/7 call availability
STAT and routine phlebotomy
STAT and routine radiology
Ultrasound/Doppler studies
EKG
Social Services
Wound Care
Podiatry
Home Health Care
Physical Therapy
Infusion Therapy
Speech Therapy
Occupational Therapy
Mental Health
Transportation arrangements
Home Health/Rehab
Home health services are provided through our subsidiary CareDimensions, which is the premier provider of specialized home health services throughout Los Angeles and Orange County.
Our multi-disciplinary team of health care professionals is dedicated to the patient care philosophy of "continuity of care." A customized plan of health care will be created by our professional staff to meet individual client needs.
Home healthcare is the foundation of what we do. CareDimensions coordinates numerous aspects of patient care and offers a full range of homecare services including:
Skilled nursing
Cardiac care
Disease and pain management
Physical, occupational and speech therapy
Wound care
Infusion Therapy
Enterostomal Therapy
Certified Home Health Aides to provide personal care services such as bathing and assistance with everyday living activities
Medical Social Work
Registered Dietician
HESS operates a DME and closed door pharmacy. These business segments are dedicated to serving our HESS clients by providing specific DME products and medications to support the post-acute patient residing either in SNF, alternative living facilities, or at home.
Hospice emphasizes palliative rather than curative treatment; quality rather than quantity of life. The dying are comforted. Professional medical care is given, and sophisticated symptom relief provided. The patient and family are both included in the care plan and emotional, spiritual and practical support is given based on the patient’s wishes and family’s needs.
Those involved in the process of dying have a variety of physical, spiritual, emotional and social needs. The nature of dying is so unique that the goal of the hospice team is to be sensitive and responsive to the special requirements of each individual and family.
HESS believes that every individual has the right to die free of pain. Hospice services are available to patients of any age, ethnicity, religion or illness. HealthEssentials’ end of life program is unique because it focuses on building integrated programs with managed care organizations resulting in better outcomes for LOS and RTAs.
We can create a system that will encompass EHR, PMS, Scheduling and Revenue Cycle (under an ASP based model) that can accomplish these essential tasks.
