Nursing Home Transition

What's the NHT Process?

STEP ONE

“I want to live at home!”

Nursing Homes are required by the state to ask if a resident wants to return to the community.  If the resident does, then facility social workers must provide information on the NHT process plus a list of available providers.  AIM is one such provider in much of the state.

STEP TWO

The Resident is the Captain of the Team

If the resident chooses AIM to provide NHT services, our coordinators work with the resident, the social services department, clinicians, families, and community members who are all part of the residents ‘team’ to ensure that all barriers are addressed prior to the day of discharge.

STEP THREE

Day of Discharge

The AIM NHT Coordinator will be there with you to make sure that the discharge and move into your new home goes smoothly.  We will ensure that medications are secured, doctor appointments are confirmed, paperwork is completed, and all of the things that need to be done are done so that you can go home.

STEP FOUR

Follow up

In the following days, weeks, and months, AIM NHT will contact you periodically to make sure that you are settled in your home and that any issues or difficulties that may have emerged are addressed.

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Reading, PA 19601

PH: 610-376-0010   TTY: 610-288-2301

Toll Free: 1-888-376-0120   FAX: 610-376-0021

info@abilitiesinmotion.org

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