Safe and Timely Transitions to Homecare
Transition of Care: the movement of a Patient from one care setting to another
(e.g. hospital to home).
If Done Poorly, it Can Lead to Medication Errors, Gaps in Treatment, and Low Customer Satisfaction.
And sometimes it can Lead to Readmissions back into the Hospital.
You Need Homecare Partners that can
Provide Seamless Transitions of Care.
3. MEDICATION RECONCILIATION
4. CARE PLAN CONFIGURATION
2. HOME COORDINATION
5. MONITORING & COMMUNICATION
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Many, but not all, Patients are able to be on home infusion. Thorough Assessment and Identification of Patient's Risk and Success Factors of Infusion Therapy at Intake is necessary. Patients must be able to administer medications on their own, perform self-care, including activities of daily living and obtaining and eating an appropriate diet. The home environment must allow for home infusion and they must be able to follow up with care providers. Our Clinical Pharmacists thoroughly review and evaluate the risk and success factors for each new order, including Patient medical records, lab reports, and clinical notes at the initial stages of our process. Once a Patient is approved for home infusion therapy, we verify and possibly adjust the order, always with the approval of the Physician, based on the Patient's most currently available lab reports.
Our Infusion Coordinators work diligently to pull the many pieces for successful home infusion therapy together. Right away, we begin reviewing insurance coverage to determine how to maximize our Patient's reimbursement benefits and identify any out of pocket costs. Labs and home health must be coordinated and the Patient must be made aware of the progress of their order. Training and delivery is arranged, and the Patient's provider is updated on the status of the order. We offer turn-key coordination: arranging nursing, creating communication regarding the Plan of Care, and easing the burden on our referral customers. We do not use third parties for our coordination. All the work of qualifying Patients for approval and maximizing their insurance reimbursement is performed by our own experts, whom are experienced in even the most complex intravenous therapies.
Our experienced Clinical Infusion Pharmacists perform a comprehensive and structured process of discovery to identify a best possible medication history ("BPMH") for each Patient, including verification with other treating providers, the Patient and Caregiver, and an examination of Patient chart records. This is necessary to ensure safe prescribing and forms a foundation throughout the length of therapy. The BPMH is shared and reconciled with outside members of the Patient's care team, and a comparison of that list against Infusion Orders prior to therapy is performed. Continual updates to the BPMH are necessary.
CARE PLAN CONFIGURATION
Landmark Clinical Infusion Pharmacist take responsibility for configuring our Patients' Care Plans, including setting therapy Goals, evaluating Patient needs, establishing monitoring intervals, verifying following Physicians, and identifying intervention flags. We make sure the care plan is customized for each Patient's therapy goals and coordinated and communicated across providers and to the Patient.
MONITORING & COMMUNICATION
We also maintain high levels of proactive communication with our referral customers, labs and home health agencies. We stay in close contact with our Patients on a regular basis to let them what is going on with their therapy and help continually educate and remind them of the fundamentals successful to their therapy. We communicate with the following Physician and keep an eye out for any breakdowns in the Plan of Care or communication we can help fill. It is a critical that the flow of information is orchestrated by the homecare provider so our Patients can focus on getting better.
Our Go-Home process combines USP-797 sterile therapies with best practices for Transitions of Care:
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Patients & Caregivers
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Landmark provides Infusion Therapies directly to Patients in homes and facilities across North Texas, including IV drugs, equipment, supplies, nursing and administration services.
We work with our Patients' Doctors to develop individual IV treatment plans that maximize the effectiveness of Home Infusion Therapy, and our staff is expert at orchestrating complex Infusion Therapies in the home.
Our sterile medications and nutrition are prepared in USP-797 Cleanrooms under stringent requirements, compounded by highly trained Infusion Technicians, and supervised by experienced Clinical Infusion Pharmacists.
We fully manage Patient orders from intake, through delivery, and all the way to the end of therapy. Our signature Landmark Level of Service means we are available 24 / 7 to coordinate with our Patient & Referral Customers to help achieve the best possible outcome for their Plan of Care.
Our four main Customers we serve:
Clinical Care Management
Medical Equipment and Supplies
Infusion Pumps & IV Supplies
Enteral Pumps & Formula
Negative Pressure Wound Therapy Pumps
Home Medical Equipment
The Patient receiving the Infusion, and their Caregivers,
Prescribing Physicians, and their Clinical Staff,
Other Integrated Care Providers involved in managing the care of our Patients, and
Health Insurance Payers seeking quality homecare providers.
Landmark Level of Service
Landmark Healthcare, Inc. was formed in 1999 and has processed over 340 thousand orders for over 84 thousand Patients in North Texas (as of August 2020). Our mission is to help discharge Patients to their homes on a timely basis, and provide ongoing home support for their Physician's plan of care. We fully coordinate our orders with clinical referrals, home health, Patients, and Caregivers. Our USP 797 sterile compounds are prepared under the supervision of experienced Clinical Pharmacists, and we set up medical equipment at the home or facility setting. We provide full training and support for our products 24 / 7 / 365.