Dealing with a loved one’s health problems can be overwhelming. You want to do the “right” thing, but figuring out what’s right can be difficult without the benefit of experience or medical knowledge. With this in mind, Health Care Unlimited offers a Total Care Case Management Program, including case management services for home care patients. Designed to coordinate care for even the most complex home care cases, an HCU case manager can interface between physicians, home health agency, other ancillary services, and family, providing optimally effective medical care.

Health Care Unlimited Case Management Services Include:

• Performing regular home visits to evaluate each patient’s health condition
• Being available for emergency home visits if problems arise
• Creating a “total care plan” that coordinates physicians, social workers, home health care providers, hospitals, and others health care providers
• Reviewing health care needs with family members
• Augmenting home care services
• Making referrals to community and government agencies if appropriate
• Supervising ancillary healthcare service delivery and performing nursing procedures
• Regular reporting of findings to Case Management sponsor such as insurance company, family, or hospital

A case manager is there to advocate for the patient; they can supply as much assistance as is needed or wanted, including full decision-making responsibility. Think of them as an extension of your family with timely access to medical, community, and institutional resources.

HCU case management services can be added to a personal care assistance program at no additional cost in most cases. A knowledgeable health care professional, your case manager will work to facilitate conversations between the medical world and the patient and family, providing comfort and guaranteeing coordinated care.

Health Care Unlimited Administration via telephone at 1-800-825-7780 or via email TotalCare@hcuinc.com.

• Provide additional support and supervision to prevent unnecessary hospital readmissions.
• Medication reconciliation and improve medication understanding and literacy.
• Identify early signs and symptoms and communicate these to Path Manager for intervention.
• Ensure medical appointments within 30-day period are properly scheduled and followed.

Health Care Unlimited’s Transitions Program is a privately funded program designed to provide additional supervision of those patients which are at high-risk for a hospital readmission. Whether your EMR system has detected an elevated risk that the patient may be readmitted to the hospital, or a simple interaction between a hospital care professional and the patient yields concern of a hospital readmission, HCU can provide an extra layer of supervision in the home to ensure health plan goals are met and physician protocols are followed.

HCU Path is 30-day program designed to collect information, improve coordination with healthcare providers, improve patient compliance, enhance patient comprehension, identify and address deficits in health literacy, provide early detection of health problems and provide solutions for early intervention in order to prevent a hospital readmission.

HCU’s Path Transitions Program consists of 5 visits to the home by an HCU Path Manager (RN), coordination with other care providers, 5 follow-up calls from the nurse to the patient, and unlimited calls from the patient to the nurse to ensure patient compliance with the patient’s plan of care.

The HCU Path Manager can supply as much information as requested or needed by the patient or family member. Each patient will have telephonic access to a clinician and have the ability to call them any time they have a question or experience a problem. Throughout the 30-day transitional period: the Path Manager will assist with the following needs:

• Address deficits or knowledge gaps in self-care, disease process, signs and symptoms, and health condition
• Medication reconciliation to ensure that all medications required are accessible by the patient.
• Phone calls to reinforce teaching ensure fidelity to care plan, and ensure observance of early symptom detection.
• Assistance in accessing community resources

The HCU Path Manager will conduct visits and phone calls to setup a foundation of compliance and healthy recovery. After the foundation is set, the Path Manager will follow-up periodically to ensure progress and that the patient is on the “Path” to a healthy recovery.

Health Care Unlimited Administration via telephone at 1-800-825-7780 or via email TotalCare@hcuinc.com.

For patients who require persistent attention for functional, dietary, or psychological needs and are at high-risk for hospitalizations, we have designed a program which places a personal care attendant that holds a Certified Nursing Assistant (CNA) license. These attendants receive additional and detailed instructions with regards to the client’s conditions, disease/conditions signs and symptoms.

By further training CNAs which have already proven themselves and established a solid foundation in the areas of patient care assistance, HCU Registered Nurses can further build on this foundation by establishing parameters for reporting concerning signs and symptoms to the family or our office which in-turn relays that information to the patient’s Primary Care Physician.

Health Care Unlimited takes the safety of our patients very seriously. We believe that safety begins with making sure we hire the right caregivers for your needs. Each caregiver undergoes a thorough hiring and supervisory process.

In addition to the special attention each caregiver receives from the RN training, Each caregiver we provide to our clients and patients will undergo the following:

• Background checks
• Federal and State OIG LEIE
• Employee Misconduct Registry
• Nursing Aide Registry
• Criminal History Check upon employment
• Attendant Orientation Conducted by Field Supervisor
• Annual Evaluations
• Quarterly Supervisory Visits to Patients Homes
• Periodic Administrative Visits
• Periodic Community Education Visits
• Quarterly Educational In-services

Health Care Unlimited Administration via telephone at 1-800-825-7780 or via email TotalCare@hcuinc.com.

For many patients with behavioral health conditions perhaps the most critical time in their treatment is after they leave the hospital and return to their home. It is at this time that behavioral patients face their most daunting task. Behavioral patients will move from consistent oversight and care to an often isolated and poorly supported environment where their condition can quickly deteriorate. This poor transition can quickly develop into a cycle of entry and exit that uses up limited healthcare resources. Our Psychiatric Nursing Program focuses on providing a consistent layer of support from Registered Nurses highly skilled in the areas of psychiatric care.

The psychiatric clinical team we have assembled specializes in the following areas:

• Grief Management
• Depression Management
• Coping Skills Training
• Evaluation and Home Safety
• Medication Management and Medication Education
• Life Skills Assessment
• Crisis Intervention
• Behavior Management
• Group Therapy
• Alzheimer’s Management
• Dementia Management
• Family Dynamics
• Relaxation Techniques
• Anxiety and Stress Reduction

Our psychiatric clinical team can provide care and management for all mental disorders (DSM IVR) in the Rio Grande Valley of South Texas.

Our Psychiatric Nursing Program is an outreach mental health treatment program that is privately funded or funded through a separate insurance contract. Our psychiatric clinicians provide empathetic and compassionate education on life skills and disease management. Our clinical team becomes a strong provider of support to patients, families and communities in order to improve the quality of life of our patients. Through this program, our clinical team is empowered to take action and prevent or avoid an exacerbation in the patient’s behavioral health. In addition to improving the quality of care that is provisioned, the goals of this program are to reduce healthcare costs and stop or prevent the cycle hospital of entry and exit by those patients entrusted to us.

Health Care Unlimited Administration via telephone at 1-800-825-7780 or via email TotalCare@hcuinc.com.