When VHAN Social Worker Mary Brooks found out that one of her patients in West Tennessee had fallen and broken a foot while trying to get into her home, she immediately began thinking of ways to help.

This fall and winter, make sure to prioritize post-discharge follow-up visits when appropriate and via telehealth when necessary. Check out the following timeline of key post-discharge activities to help you stay on track.

Watch a short video on how the VHAN Care Management Team supported a patient in managing her diabetes.