Improving Care of Patients and Caregivers

A hospital stay is often just the first stage in your recovery from illness or injury. Your transition home — or to an extended care facility for rehabilitation or additional support — can affect not only you, but also your spouse, parents, children, employer, and extended family and friends.

UPMC is recognized as a leader in developing a patient-centered medical home which focuses on building collaborative partnerships between you, your family, your primary care physician (PCP), and your UPMC medical team — including care managers who will help coordinate your future plan of care.

Among the ways we help ensure your smooth transition home include:

• Safe Discharge Program — Before you leave a UPMC hospital, you and your caregivers will be provided with the information and tools needed to support your recovery —from understanding medication instructions to participating in rehabilitation as appropriate. You’ll be able to access your comprehensive care plan online through MyUPMC, and care managers also can link you to valuable community resources.
• ED U-turn to Home — Conceived by nurses at UPMC, this program focuses on assessing patients admitted to a UPMC Emergency Department (ED). Through the innovative use of visiting home nurses, this program enables many patients to return home without the need for continued hospitalization.