VNA of Albany delivers specific care programs that support patient teaching, positive patient outcomes, care transitions, and hospital/ER admission avoidance. Our programs are coordinated for patients by a VNA clinical case manager, who practices under the direction of physician’s orders.
Programs include: Asthma Program and Sub-Acute Transition Program.
VNA of Albany’s Asthma Education Home Visit Program provides assessment, monitoring and education for patients who have poorly controlled asthma and have had recent hospitalizations and/or emergency room visits due to their asthma. The program is designed to assess the patient and their environment, monitor treatment and effectiveness, and educate patients and their caregivers on disease process, environmental triggers, and self-management.
Sub-acute Transition Program
Through our Sub-acute Transition Program, patients are effectively transitioned from the hospital to a sub-acute/Skilled Nursing Facility (SNF), and then to VNA home care. Patients who participate in the program are met by VNA Home Care Nurse Coordinators in the hospital prior to their discharge to the SNF to discuss their transfer to the facility, and then to home care. A VNA Clinical Liaison Nurse coordinates with the Social Work staff at the SNF upon admission of the patient, and meets with the patient during their stay in the facility to prepare them for discharge to VNA home care.
For more information on VNA of Albany programs or how to start services and to initiate a referral, please click here.