Visiting Nurse Service

 
 

 

 

 

Transition Coaching

To improve the safety of high risk patients during and after hospital discharge,                                                                                    Visiting Nurse Service provides a Transition Coaching program. Nurses and social                                                     workers teach patients the skills necessary to maintain and improve their health, and                                               empower them to take charge of their well-being. It has decreased hospital readmissions by 25                                   percent and is now a UR Medicine standard of care.

Our professionals visit patients in the hospital and soon after discharge at home to:

  • reconcile medications
  • help the patient complete a personal health record
  • ensure physician follow-up
  • educate the patient about health indicators

Our visiting professionals also follow up with patients over the phone within the first thirty days after discharge.

Visiting Nurse Service of Rochester and Finger Lakes Visiting Nurse Service—UR Medicine’s home care agencies—provide transition coaching for patients at Strong Memorial, Highland, Nicholas Noyes, Geneva General and F.F. Thompson hospitals. Each day we receive census reports from these facilities, and approach patients who meet the eligibility criteria directly at their bedsides to discuss enrollment. A physician referral is not required; however we do send a courtesy fax to primary care physicians notifying them of their patients’ participation. 

 

Visiting Nurse Service of Rochester and
Monroe County, Inc.
(585) 787-2233
(800) 724-5727

2180 Empire Boulevard • Webster, NY 14580

 

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  1. VNSDear Patient:

    We like to recognize VNS staff who are living our I CARE values and are providing you extraordinary care and service. Please let us know if you see our employees acting with Integrity, Compassion, Accountability, Respect, Excellence.



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  9. I CARE ~ Integrity, Compassion, Accountability, Respect, Excellence