Home Assessment

What is Home Assessment?

Home Assessment or Case Management is an integrated care service led by registered nurses, providing personalized health plans through comprehensive assessments and resource coordination. We serve as the central hub connecting patients, families, and healthcare teams, systematically optimizing care from medical needs to home environments to ensure services align with your actual needs.

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Our Services

✅ Comprehensive Health Assessment

Multi-Dimensional Evaluation Matrix:

• Physiological indicators: Chronic disease control, medication interactions, nutritional risks

• Functional status: Barthel Index (ADL), Instrumental Activities of Daily Living (IADL)

• Environmental safety: Home layout risks, assistive device suitability

• Psychosocial factors: Caregiver stress, social support networks

• Real-time monitoring: Remote tracking of blood pressure/glucose trends

✅ Personalized Care Plan

Short-term crisis intervention:

• Post-surgical wound care priority plan

• Emergency protocols for acute deterioration

Long-term health promotion:

• Chronic disease self-management training

• Preventive care (fall prevention, dementia delay strategies)

Precision service matching:

• Connects you to:

  • Wound care nurses | Physiotherapists | Dietitians

  • Home caregivers | Meal delivery | Assistive device resources

✅ Interdisciplinary Collaboration

Medical coordination platform:

• Electronic health record sharing (with patient consent)

• Tripartite meetings (doctor-case manager-family)

Resource integration network:

• Social welfare application guidance (e.g., Elderly Care 2.0, Community Care Fund)

• Respite service referrals

✅ Dynamic Progress Tracking

Smart care dashboard:

• Traffic-light alert system (auto-flags abnormal vitals)

• Service execution records

Biweekly reviews:

• Goal achievement analysis (e.g., "30% wound reduction")

• Flexible plan adjustments

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Why Choose Us?

✅ Nurse-Led Expertise

• Hong Kong RNs with 15+ years’ experience & Case Management Certification (CMT)

✅ 4D Assessment Framework
Physical | Psychological | Functional | Environmental

✅ Seamless Referral Network
200+ partnered medical/community resources, with 48-hour service activation

Who Can Benefit?

• Multi-morbidity seniors (e.g., diabetes + heart failure + arthritis)

• High-risk post-discharge patients (major surgery, post-intubation, hospice transitions)

• Complex care needs (dementia with dysphagia, spinal injuries with pressure ulcers)

• Resource-challenged families (new immigrants, isolated elders, overwhelmed caregivers)

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FAQ

Q: How is this different from regular home care?
A: Case management is the "central hub" of care:

• Traditional Home CareCase Management

• Single technical service (e.g., wound dressing)Holistic medical/social integration

• Passive order executionProactive monitoring & adjustments

• Fragmented servicesOne-stop resource coordination

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Q: How to start? How long is the first assessment?
A: 3-step process:

1. Initial evaluation (90 mins, includes home scan)

2. Goal-setting meeting (patient/family/case manager)

3. Resource activation (services matched within 72 hours)

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Q: Can I use medical vouchers/insurance?
A: Yes! We assist with:

• Elderly Healthcare Voucher claims

• Social welfare subsidy applications

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Q: How to reach case managers in emergencies?
A: 365-day "Red Alert Hotline" for:

• Critical vitals (e.g., BP >180mmHg)

• Caregiving crises (e.g., sudden caregiver collapse)

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