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News & Resources

 

Home Care and the New Healthcare Ecosystem: Reducing Readmissions and Supporting Aging in Place

June 24, 2025


As the healthcare system continues to shift toward at-home programs, home care is becoming an indispensable partner in improving outcomes. From easing transitions after hospitalization to helping older adults remain safely at home, home care plays a critical role in ensuring continuity, stability, and dignity for seniors — while also alleviating strain on hospitals and long-term care settings.

At Family & Nursing Care, we are proud to be a trusted extension of the healthcare ecosystem, supporting providers and families alike in the shared goal of healthier aging.

The Readmission Challenge

Hospital readmissions are a major concern for providers nationwide. Under Centers for Medicare & Medicaid Services (CMS) guidelines, hospitals can face penalties for high 30-day readmission rates, particularly for conditions such as heart failure, pneumonia, and chronic obstructive pulmonary disease (COPD).

From time to time, patients are discharged home without sufficient support, and they can experience complications — ranging from medication mismanagement to falls or worsening chronic symptoms. These setbacks can lead to emergency room visits and readmissions, disrupting recovery and adding cost to the system.

The Role of Home Care in Post-Acute Success

Home care acts as a vital safety net for patients transitioning from the hospital to home. Professional caregivers help bridge the gap between clinical care and everyday living by providing:

  • Medication reminders to support adherence to discharge instructions.
  • Assistance with mobility and fall prevention to keep the home environment safe.
  • Meal preparation and hydration to promote strength and healing.
  • Transportation to follow-up appointments to ensure continuity of care.
  • Daily check-ins to identify early warning signs of health issues.

By working in concert with discharge planners and healthcare teams, home care reduces family caretaker burden, prevents complications, and gives clients the best possible chance at a full and lasting recovery.

Integrating with the Broader Care Ecosystem

Home care’s impact extends beyond the post-hospital setting. For senior living communities, supplemental in-home care can help residents remain in place during recovery or health setbacks, minimizing the need for moves to higher levels of care. This continuity is not only reassuring for residents and families but also communities.

Aging Life Care Professionals also benefit from trusted home care partnerships. As older adults’ needs change, flexible caregiver support ensures stability. Home care services can be adjusted in real time, providing a customized care experience that evolves alongside the client.

Better Outcomes

The data is clear: when home care is part of the equation, outcomes improve. Studies consistently show that patients who receive home care following discharge have:

  • Lower hospital readmission rates
  • Higher levels of satisfaction
  • Fewer emergency room visits

In addition to reducing costs for hospitals, home care empowers older adults to remain in the comfort of their homes — improving quality of life and reinforcing autonomy.

Your Partner in Care Transitions

At Family & Nursing Care, we work closely with senior care professionals to connect older adults and their families with fast, flexible, and high-quality caregiver support. Whether clients need short-term recovery assistance or long-term care to age in place, we’re ready to help with a smooth, supported transition home — so they can stay there.

To learn more about how we partner with professionals to help older adults maintain independence from the comfort of their own homes, visit our Professional Partnerships webpage.

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