The Post-Acute Care Service will address the care environment for all patients following discharge from BMH and other acute care facilities, transferred to our area for post-acute care. The clinician team will be involved in direct patient care from the time of discharge from acute care to the admission at a Skilled Nursing Facilities using best practices for managing medical problems in post-acute medical episode recovery/rehabilitation, stabilizing chronic conditions with goal of returning home, and supporting decisions made at the end of life for unique care directed at comfort and respect for the patient in the dying process.

As Post-Acute Care Service will provide leadership in the efforts to improve patient safety, prevent hospital-acquired infections, manage care transitions, provide compassion at the end of life with palliative care, and improve health care technology such as electronic health records and computerized physician order entry systems.