Discharge planning begins at the time of admission. Our Interdisciplinary Team is dedicated to weekly reviewing each patient's case in order to achieve the optimum outcome. Our Social Worker plays a most important role assisting the Team to help the patients and families manage financial, social, and emotional issues that are related to each individual case. She will also help to arrange home health care, order any medical equipment needed when returning home, and assist in making follow up appointments with specialists or primary care physicians. Discharge planning is essential to enhance the patient's goal to return home safer and more independent. Our Team is also available to assist you and your family make the best decision about long-term or continued care.