Care Transitions Coaching – Help For Seniors Leaving Hospital Care

ElderSource currently has a partnership with UF Health offering patients and families a Care Transitions Coach. The purpose is to empower patients and hopefully not have them return to the hospital unnecessarily.

This free program helps patients transition from hospital care to re-cooperating at home with the guidance of an ElderSource Care Transitions Coach.

Your Coach will visit you in the hospital and explain the program to you. You will be visited at home at which time your Coach will:

  • Review medications
  • Talk with you about what symptoms to look for and what to do if your condition gets worse
  • Work with you on how to communicate with your doctor’s office
  • Give you a Personal Health Record for you to fill out to keep track of your medical appointments, making your care go more smoothly and be less confusing
  • Your Coach will call several times to check on you and will work with you for 30 days.

With questions about the Care Transitions program, call the ADRC Helpline at 1-888.242.4464

ElderSource empowers Florida Seniors in Baker, Clay, Duval, Flagler, Nassau, St. Johns and Volusia counties.

10688 Old St. Augustine Road
Jacksonville, FL 32257

Toll free: 888.242.4464
Local: 904.391.6600
Fax: 904.391.6693

Office: Monday - Friday, 8 a.m. to 5 p.m.
HelpLine: Monday - Friday, 8 a.m. to 5 p.m.
Visually or audio-impaired dial
Florida Relay Services at 7-1-1