BRIDGING THE PATH BETWEEN HOSPITAL AND HOME
In 2007, Aging Care Connections received a grant from the Community Memorial Foundation to establish a satellite office onsite at Adventist La Grange Memorial Hospital. The Aging Resource Center office, located on the first floor of the Patient Care Center, offers older adults and their families the opportunity to secure community resources and services prior to discharge. A social worker from Aging Care Connections, called an Aging Resource Specialist, staffs the Aging Resource Center office and is available to meet with older adults and their families at various locations throughout the hospital including patient rooms, family waiting rooms, and outpatient clinics.
During the meeting on-site at the hospital, the Aging Resource Specialist can assess the older adult’s eligibility for federal, state, and local programs and establish services prior to discharge. The Aging Resource Specialist is also able to connect older adult patients and their families to private resources, health information, and caregiving materials.
In 2008, the Aging Resource Center expanded to serve older adult patients and their families at four local skilled nursing facilities. The Aging Resource Specialist provides the same opportunity to secure community resources and services during a short-term rehabilitation stay at the following facilities:
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Aging Care Connections is a member of the Illinois Transitional Care Consortium (ITCC). The ITCC was formed to more effectively address needs of older adults transitioning from the hospital to the community by linking hospital based services with the aging network. The ITCC has developed and is implementing the Bridge Program, a social work-based transitional care service model that ensures the safe transition of vulnerable older adults and their caregivers across the healthcare system, promotes successful reintegration to the community, and minimizes health disparities. The ARC model is a part of the Bridge Program.
More information about ITCC can be found at: www.transitionalcare.org
Aging Care Connections is grateful for the support of the Harry and Jeannette Weinberg Foundation, the Administration on Aging, the Illinois Department on Aging, AgeOptions, Community Memorial Foundation, the Retirement Research Foundation, and Blue Cross and Blue Shield of Illinois.
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