Highlights of Livingston Help for Seniors:
· A free service that aims to improve the quality of life of older adults. The program identifies unmet needs of older adults and connects them to needed services.
· Older adults who have accessed EMS for assistance are screened for certain preventable conditions. Eligible patients are offered a free in-home visit from the Transitional Case Manager.
· Prior to home visit, a case manager contacts your office to determine any concerns you have for your patient and obtain a current medication list and problem list.
· The Transitional Case Manager visits older adults in their home and assess them for medical and social concerns. Based upon the evaluation, the case manager works with each patient, their family members, their physician, and elder care services to develop an individualized plan of care.
· The case manager will assist the patient and their families to find resources and services to meet their needs.
· Physicians receive a detailed summary of the needs and risks of the patient, as well any referrals made.