— HOSPITAL CARE ADVOCACY
Get the guidance and advocacy you need when a loved one is hospitalized.
When an older loved one is hospitalized — expected or not — the medical system can feel overwhelming and confusing to navigate. Our geriatric care managers serve as expert guides and advocates at every stage, from pre-admission through the transition home and beyond. Based in Winston-Salem, we serve older adults and families across the Triad.
Winston-Salem, NC · Independent & Unbiased Care Management
Skilled guidance & care
The 5 Stages of Hospital Support with a Geriatric Care Manager.
Our care managers assess, coordinate, guide, educate, and advocate for the client, their adult children, and family caregivers from the moment a hospitalization is anticipated through the return home and recovery. Whether a hospitalization is planned or sudden, we are here to provide the support and advocacy you need.
Every engagement begins with a thorough initial consultation and intake, including a comprehensive psychosocial and health assessment of the older adult and a caregiver assessment, from which a personalized care plan is developed.
01
Pre-Admission
Preparing the client and family, coordinating with the medical team, and ensuring the home environment is ready for the return — before hospitalization even begins.
02
Admission.
Managing the intake process and ensuring the care team has the complete picture of the client's health history, medications, and personal wishes.
03
Hospitalization.
Serving as the family's eyes and ears — advocating for quality care and keeping communication clear between the medical staff and the family at home.
04
Discharge Planning.
Arranging home health services, reconciling medications, and educating caregivers on what to expect so that discharge doesn't mean care ends.
05
Transition & Monitoring.
Following the client home, monitoring medications and recovery, supporting caregivers, and connecting to community rehabilitation services in Winston-Salem and the Triad.
Every engagement begins with a thorough initial consultation and intake, including a comprehensive psychosocial and health assessment of the older adult and a caregiver assessment, from which a personalized care plan is developed.
How We Work
We support older adults and their families through every stage of a hospital experience - before, during, and after.
The Older Adult
Adult Children & Family Members
Family Caregivers
Physicians & Medical Team
Hospital Systems
PREVENTING READMISSION
Hospital readmission is costly, frightening, and - in many cases - entirely preventable.
Too many older adults return to the emergency department within days or weeks of discharge, often because of unmanaged medications, confusing instructions, or a lack of follow-up support at home.
A core goal of every engagement is preventing that return trip. Through close post-discharge monitoring, medication oversight, and proactive caregiver support, our care managers work to keep your loved one safely at home and on the road to genuine recovery.
Questions About Hospital Care Advocacy?
You can call at any point. While engaging us before an admission allows for the most thorough preparation, we are equally equipped to step in once a hospitalization is already underway. Families often reach out in the middle of a crisis, and that is exactly what we are here for. The sooner we are involved, the more we can do, but it is never too late to have an advocate in your corner.
Our Promise
Why work with a Geriatric Care Manager?
We serve as the hub of your loved one's care, providing comprehensive assessment and ongoing coordination of care across all domains — medical, emotional, social, and environmental — with a personalized care plan and a single trusted professional at the center. Serving Winston-Salem and Forsyth County, North Carolina.
Initial Consultation
We begin with a thorough consultation to understand your situation, your loved one's needs, and the scope of the hospitalization. There's no obligation — just a conversation with a professional who has seen this before and can help you think clearly.
Comprehensive Assessment
A detailed psychosocial and health assessment of the older adult, alongside a caregiver assessment, forms the foundation of everything we do. We look at the whole picture — medical, emotional, logistical, and social.
Personalized Care Plan
From the assessment, we develop a care plan tailored to your family's specific situation, preferences, and goals — covering every phase of the hospital experience and beyond.
Active Advocacy & Coordination
Your care manager is present and active throughout the hospitalization — in communication with the medical team, keeping the family informed, and making sure nothing falls through the cracks.
Transition Home & Ongoing Monitoring
We follow your loved one home. Services don't end at the hospital door. We coordinate the return, monitor recovery, support the caregiver, and connect your family to the right resources in the Winston-Salem community.
Begin the Conversation
No one should navigate a hospitalization alone.
Whether you're facing a planned surgery or managing an unexpected emergency, we're here to help. Reach out today to speak with a geriatric care manager about your family's situation. Serving Winston-Salem, NC and the surrounding Triad region.