The Guardian Healthcare Emergency Care Model




Assess

  • Comprehensive in-home assessment, including risk for falls 
  • Development of an evidence-based plan of care, including medication management and reconciliation
  • Early identification of healthcare risks to avoid unnecessary adverse events

Collaborate

  • A multidisciplinary care management team approach with the patient and caregiver
  • Sharing of real-time medication reconciliation to help provide emergency department decision support 
  • Emergency department staff education to help identify patients requiring home healthcare services
  • Collaboration with nurses, social workers, case managers, dietitians, pharmacists, and physicians to help avoid exacerbations

Support

  • Individualized patient care plans replete with expected patient outcomes, symptom awareness and action plans to reduce preventable hospitalizations and emergency department visits
  • Telephonic coaching and/or telehealth services for patient and caregiver reinforcement and engagement