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Ensuring that the progress and strides made during a hospital stay are not lost once a patient is discharged is a priority for our Home and Community-Based Care team. With the quality of life and independence of the patient in mind, we provide medical supervision and direction of the team in providing the best care for the patient.
Our physicians provide primary care to participants enrolled in the Community Life program in Allegheny County. We take a holistic view of health care using an interdisciplinary team approach, all working to help our patients maintain self-care ability, remain independent, and age in place.
Our physicians work with the health care team of Community Life to include consultants, social workers, nurses, pharmacists, and physical therapists to address the problems presented by the participants.
Our clinical practice focuses on assessing and optimizing our patient’s function, which includes physical, cognitive, psychological, and social aspects. In turn, this can maximize their self-care ability and quality of life.
The scope of assessment varies depending on the patient’s level of frailty and the ability to do day-to-day activities. We recognize the significant role of the caregiver in caring for the older adult and include caregivers in our assessment and as we develop care plans for our patients.