Improving Treatment Transitions with Non Medical In- Home Care

Improving Treatment Transitions with Non Medical In- Home Care in Brookfield, Wisconsin

Seniors over 65 years of age are some of the highest users of acute treatment and emergency hospital services in Brookfield, Wisconsin and throughout the United States (McAiney et al., 2017, p. 149). This population also has the highest number of repeat emergency department visits, as well as the longest lengths of stay, according to research by the journal of International Psychogeriatrics.

Consequently, seniors also face the greatest number of challenges as they transition back to their primary living space, whether that be an assisted living community or family home. Limited continuity of care, poor communication between various members of your healthcare team, and ineffective self-management are three of the most common issues that seniors face in transition from one care setting to another.

But ABC Greater Milwaukee can help. Today’s post explains how our non medical in-home care service mitigates the risks of care setting transitions, while also improving quality of life and shortening recovery time.

Understanding the Risks of Treatment Transitions

The journal of International Psychogeriatrics identifies the following 7 risk factors for seniors transitioning from one care setting to another:

  • Limited continuity of care
  • Poor communication
  • Ineffective self-management
  • Transportation issues
  • Social isolation
  • Care system confusion
  • Language and cultural barriers

Improving Treatment Transitions With Non Medical In-Home Care Services

The journal of International Psychogeriatrics foregrounds the important role that “intensive geriatric service workers” (IGSW) play in improving access to care, implementation of care plans, client-caregiver satisfaction, and senior health outcomes.

Some of their duties include:

  • Conducting home visits within 24-48 hours of seniors’ hospital discharges to begin the process of providing support and following up on physicians’ instructions;
  • Working with seniors to implement care plans generate in integrative, collaborative settings;
  • Encourage and support follow-up appointments with primary care, specialists, and community support services by handling scheduling, arranging for transportation (or driving the patient themselves), offering a second pair of eyes and ears to retain important treatment information, and ensuring client questions are addressed during the consultation;
  • Debriefing clients after appointments to ensure all instructions were understood and to resolve any potential barriers to compliance with the doctor’s recommendations;
  • Promoting self-directed care by educating seniors about their conditions, as well as the healthy habits they can implement to improve treatment outcomes;
  • Coaching seniors on how to improve their one-on-one communication with health professionals;
  • Acting as advocates for seniors at all stages of the treatment process;
  • Helping seniors navigate complex and disjointed health care systems that may not be particularly “senior friendly.”

In this way, we can see how IGSWs improve communication, maintain care continuity, and break down common barriers to care-seeking and adherence.

And while the IGSW terminology may not be familiar for our readers, Brookfield, Wisconsin residents will be pleased to learn that ABC Greater Milwaukee’s non medical in-home care workers fall under the same banner.

Find Non Medical In-Home Care Support in Brookfield, Wisconsin

Visit to learn more about our non medical in-home care service and book your free consultation with an Always Best Care Greater Milwaukee representative.


McAiney, C. A., Hillier, L. M., Paul, J., McKinnon Wilson, J., Tersigni Phelan, A., Wagner, F., & O’Connor, S. (2017). Improving the seniors’ transition from hospital to the community: A case for intensive geriatric service workers. International Psychogeriatrics, 29(1), 149-163.

Posted In: In-Home Care