Continuity of Care Center

About Us

Continuity of Care is defined as a process of holistic healthcare management where the patient and healthcare team are cooperatively involved in ongoing health care supervision towards the goal of high quality and cost-effective medical care. This is where The Medical City’s Continuity of Care Center (CCC) comes in. By providing value added services to patients, the center keeps track of their healthcare needs during the entire patient journey from the time of admission, discharge, follow-ups until such time that healthcare services are no longer needed. It likewise delivers a “seamless service” to all patients with utmost quality to sustain continued care.

Furthermore, care will be provided no matter how far the patient is from the institution and whether in an outpatient, work or home setting. All this will be made possible through integration, coordination and the sharing of information among different providers.

Home Care, on the other hand, is the provision of service and equipment to the patient in the home for the purpose of restoring and maintaining his or her maximal level of comfort, function, and health such as acute illness, long-term health condition, permanent disability, and terminal illness. It is a collaborative effort/ partnership among patient, family, and The Medical City professionals.

Home care is also a component of comprehensive health care whereby health services are provided to individuals and families in their place of residence for the purpose of promoting, maintaining or restoring health, or of maximizing the level of independence, while minimizing the effects of disability and illness.

Lastly, Home Care Services make certain that continuity of care is provided to the patient and the people surrounding them inside their residence.

Services

Services of CCC

After confinement, patients will be followed up by the Continuity of Care Center through the Contact Center and Case Managers. The Center keeps track of their health status and needs by coordinating their concerns to all the stakeholders involved such as home care service, laboratory, physical therapy, and other services applicable to them.

The center can also provide patients the available options for equipment, medications, transportation services, and referrals to Private Duty Nurses (PDNs)/Caregivers.

Benefits of availing of the services of CCC:

Patient Convenience

High Quality Medical Care – increased customization and monitoring

Continuous Care and Seamless Transition

Improved Customer Service

Involvement of Caregivers/Family

Increased Access to Information and Education

Cost Effective

Home Care Services (HCS)

Nursing Care

IV insertion

IV antibiotic administration

Change of wound dressing (pressure sores, surgical wound, arterial and venous leg ulcers)

Irrigation (Enemas, wounds, colostomy)

Nebulization

FC/NGT insertion/change

Stoma Care

Home Set Up

Assist in acquiring hospital equipment for home use

Doctor’s Visit

Physical Therapy and Occupational Therapy

Laboratory Blood Extraction

Electrocardiogram(ECG), 24-hour Holter Monitoring

Pulmonary Laboratory

Nutrition Management Services (dietary counseling, calorie counting, cycle menu planning)

Benefits of HCS:

Provides alternative health care services to clients who opted to continue the care at home

Reduces the cost of health care services

Improves the health and quality of life of the patient

Reduces the need for hospitalization visits

Reduces hospital length of stay and the risk of hospital readmission

Provides support to the home caregiver

Enhances the functional potential of patients with impairments and disabilities

Our Team

The Continuity of Care Center (CCC) is composed of Home Care Services (HCS) and the Contact Center. Below are the names of the team:

Monina C. Tamayo - Operations Manager

Jessa-Mae B. Cariño - Assistant Manager

Agnes Mae C. Velasco - Home Care Staff Nurse

Maria Jessa Isabelle C. Crisostomo - Home Care Staff Nurse

Jarvik Angelo Atienza - Home Care Staff Nurse

Reichelle dC. Esguerra - Home Care Staff Nurse

Ralph P. Pestaño - Home Care Staff Nurse

Referrals are currently directed to Dr. Marc Evans M. Abat (Geriatrics)