Discharge from hospital represents a big change for many patients, their families and caregivers. While in hospital, patients have 24/7 access to highly qualified staff and resources, and therefore the transition home without the immediate access to these resources can result in anxiety and fear.
What is Quinte@Home?
Quinte@Home is a new program that provides eligible patients with the care they need at home when discharged from Quinte Health or referred to by their Primary Care Provider. The Quinte@Home team consists of your coordinator, nurses, personal support workers, occupational therapists, physiotherapists, social workers, and dietitians in partnership with SE Health.
The Quinte@Home team works closely with you and your hospital team to make sure your care plan at home meets your needs. Our goal is to make your first several weeks at home as easy as possible.
How does Quinte@Home work?
If you’re eligible for the Quinte@Home program, your Quinte@Home coordinator and team will meet with you, your family, and your hospital team to create your care plan. This plan will be shared with everyone involved in providing your home care. Your first home visit will be scheduled before you leave the hospital, and you will know the name of the person coming to your home.
On the day you are discharged, you will get a phone call from a member of your SE Health team to make sure you have arrived home safely.
Your Quinte@Home team will:
Visit you within 24 hours of arrival home
Check in with you every day for the first 7 days
After the first week, you and your team will decide on how often they need to check in with you
Work closely with the hospital to ensure your goals are being met after you get home
Keep your Primary Care Provider (Family MD or Nurse Practitioner) up to date on your progress
Use different ways to check in and care for you including;
Home visits
Phone calls
Technology like telemonitoring
Work with other local community resources including Meals on Wheels, transportation, and caregiver support programs.
If your needs change so will your care plan. You may need more services at times, or you may need less service. Quinte@Home was designed with this flexibility in mind. These supports are there so you have what you need to be at home.
There is a 24/7 phone number that you can call if you have any questions or concerns when you are home: 1-866-545-4366
Most eligible patients are part of the Quinte@Home program for 16 weeks.
If your medical condition changes and you need hospital care, Quinte@Home will continue your support when you return from home. Your Quinte@Home team will be kept informed and plan for your transition back home.
If you need care after 16 weeks, your Quinte@Home team will connect with homecare services provided by South East Home and Community Care Support Services (HCCSS). After 8 weeks, you and your team will review your progress and plan for your ongoing care. Around 12 weeks, if you require ongoing care, your Quinte@Home team will help you plan for this. They will connect you with an HCCSS Care Coordinator who will conduct an assessment and plan with you for ongoing care.
