Post Hospital Care for Seniors

Healing, your way

After a hospital stay, we understand you want to heal and get back to your home and best possible health as soon as possible. The senior health care landscape can be challenging to navigate and our post hospital discharge care teams are here to support and guide you every step of the way.

THERAPEUTIC AND CLINICAL EXPERTISE

After a hospital discharge, our highly trained clinical and therapeutic staff can handle all rehabilitation and therapy you may need during your healing process.

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INDIVIDUALIZED PERSONAL CARE PLANS

We believe each person should be in as much control of their own healing as possible, and co-author a plan together.

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YOUR CHOICE. YOUR CONTROL.

You know yourself better than anyone, and we follow your lead when it comes to structuring your days.

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Post Hospital Care Journey, What to Expect

AFTER AN UNPLANNED EPISODE
AFTER A PLANNED SURGERY
ONGOING CARE

AFTER AN UNPLANNED EPISODE

You’ve found yourself in the hospital after an unexpected injury or illness. The hospital has advised that you’re not ready to go home and need Post Hospital Care for additional therapy and recovery. You or your loved one might be feeling emotionally shocked by this event and needing some guidance and support. We can ease your worry with customized recovery plans to get you home as quickly and successfully as possible.

AFTER A PLANNED SURGERY

Prior to a major procedure such as a joint replacement or heart surgery, you realize or are advised by your doctor that Post Hospital Care will be needed during your recovery period. As this is a pre-planned event, you have time to research your options to find the best fit for your needs and make necessary arrangements.

ONGOING CARE

You might find that after your therapy and recovery has ended, that you really appreciated the additional help and support. At this point you have the option to move to another level of care within the Marquis continuum; whether that be Marquis at Home, Assisted Living, Long Term Care, or Memory Care, all dependent on your health needs.

AFTER AN UNPLANNED EPISODE

You’ve found yourself in the hospital after an unexpected injury or illness. The hospital has advised that you’re not ready to go home and need Post Hospital Care for additional therapy and recovery. You or your loved one might be feeling emotionally shocked by this event and needing some guidance and support. We can ease your worry with customized recovery plans to get you home as quickly and successfully as possible.
AFTER A PLANNED SURGERY

Prior to a major procedure such as a joint replacement or heart surgery, you realize or are advised by your doctor that Post Hospital Care will be needed during your recovery period. As this is a pre-planned event, you have time to research your options to find the best fit for your needs and make necessary arrangements.
ONGOING CARE

You might find that after your therapy and recovery has ended, that you really appreciated the additional help and support. At this point you have the option to move to another level of care within the Marquis continuum; whether that be Marquis at Home, Assisted Living, Long Term Care, or Memory Care, all dependent on your health needs.

Manage Your Transition

Managing Medications
PREPARING FOR A STAY
Insurance and costs
Admissions
Wills and Estates

Managing Medications

Many people have questions about how medications will be managed during their stay. You do not need to bring any medications or prescriptions with you. Your doctor will include all necessary prescriptions, including over the counter products, in your detailed medical orders. This process is managed by our in-house pharmacy. Our licensed nurses and nurse practitioners oversee and dispense all medications. When you are discharged, a nurse will review all your medications and determine those that will be transitioned back home with you.

PREPARING FOR A STAY

Having the personal items you want with you during your recovery can bring a sense of comfort and familiarity. Think of this like going to a furnished, extended stay hotel (with laundry service) and the things you might need or want there. We’ve put together a list of frequently asked questions for those pre-planning for a stay, or those helping a loved one who has had an unexpected event.

Frequently Asked Questions

1

What do I need to bring from home?

• 4-5 Comfortable outfits

• Comfortable non-skid shoes

• Personal items like a favorite pillow and blanket

• Entertainment items like books and/or an iPad
2

What shouldn’t I bring from home?

• Valuables

• Extension Cords

• Wheelchairs and/or Walkers (facility will provide)
3

How will I get there from the hospital?

A medical transport company or Marquis representative from the facility will bring you.
4

Can I have visitors?

Visitors are allowed 24 hours a day, 7 days a week.
5

How will the facility know what care I need?

Your Doctor will send VERY thorough medical orders and our nurses will communicate with them every step of the way.
6

Can I bring my recliner?

Not typically, but we promise to keep you comfortable.

Insurance and costs

You or your loved one likely has questions about how much a Post Hospital stay will cost and what will be covered by insurance. We’ve put together a list of some of the most frequently asked questions and their answers. However, the facility of your choice is always available to help walk you through the costs and process. In addition, our Payor Sources chart gives a high level overview and more information can be found in our paper on Senior Health Care Options and Costs.

Frequently asked questions

1

When do my copays start?

With Medicare, your copays usually start on day 21. With Managed Care plans, your copay start dates can vary. Our facility representatives are happy to talk this through with you.
2

What is covered?

The facility business office will review your insurance plan and provide details about what is and isn’t covered and how much a copay costs.
3

What is the copay?

Marquis doesn’t set the copay rate, this is determined by your insurance company. We are reimbursed by the insurance company and don’t add extra fees or negotiate fees.
4

Will my insurance cover 100 days of care?

This depends. We are your advocates and will work with your insurance company with your best interests in mind. We are always on your side and working within insurance guidelines to get you the best coverage possible.
5

Will I know if/when my coverage runs out and if it does, will you discharge me?

Our aim is to proactively address issues with the insurance company and family as needed to avoid surprises. There are some cases where an insurance company will cut coverage. Although unlikely, if this does occur we hold daily meetings with critical staff during which we would create a plan for the client’s safe transition.

Admissions

You will be assigned an admissions liaison, whose job is to ensure the transition goes smoothly. The liaison will have access to your hospital records and will work with case managers to oversee and manage your transition from place to place. Once you arrive at the Marquis facility you will be warmly greeted by staff and shown to your room. Within the next 24 hours you can expect nursing, social service, dietary and therapy assessments as well as admission paperwork. It helps to be patient and prepared during this time, so bring insurance cards for admission paperwork. It’s also important to be mentally prepared for more therapy than the hospital. Remember that your ultimate goal through rehabilitation is to gain more independence and return to a lesser level of care.

Wills and Estates

Estate planning is an important arrangement for all aging people to have in place to avoid family disputes, legal fees and/or the government taking possession of assets. It’s also a chance for an aging person to make their wishes for their finances and health care known to their loved ones so everyone can be on the same page. Estate Planning documents can be drawn up by a trusted attorney, or you can use a do-it-yourself legal document source such as LawDepot.com.

Simple Steps for Estate Planning

1

Create Estate Planning Documents

The most critical documents for the aging person and their family to create or have created by an attorney are a Last Will and Testament, Power of Attorney and Health Care Directive.
2

Create The Last Will and Testament

This document allows the person to specify gifts to family members, loved ones and organizations after they are gone. Without it, the government can decide what happens to your possessions, property and money.
3

Appoint an Executor for the Will

An executor administers the estate and is responsible for collecting assets, paying debts and taxes, and then distributing the remaining assets of the estate in accordance with the direction of the will. An executor should be a trusted person that has the capacity to handle this responsibility.
4

Update the Will as Needed

In order to ensure the validity of a Will, certain events mandate that updates are made. Use a Codicil if there is a change in executor, guardian or you want to make simple changes or additions. If there is a marriage or divorce or you need to add or remove a beneficiary, a new Will should be created.
5

Designate Power of Attorney

This document gives another party the legal authority to act on your behalf to manage legal and financial affairs if you no longer can. The power can be very broad, or limited to a specific task or tasks. Power of Attorney should be given to someone that you trust and understands your wishes.
6

Create a Health Care Directive

This document allows the aging person to determine specific choices for their medical treatment if they are no longer able to communicate or provide consent. It also allows for a trusted person to be designated to make healthcare decisions for them if they are unable to do so.
7

Discuss the Documents with Loved Ones

It’s important to let your loved ones know that you have created these documents and to share the parts you want them to know. Some people also write a letter to go along with their Will that details certain wishes (like funeral arrangements or who they want items of sentimental value to be passed to).
8

Organize your Digital and Paper Files

Pull together the documents your executor will need, such as: insurance policies, bank and brokerage house statements, and pension and other employee-benefit information. Keep an up-to-date list of assets, contact info of your legal and financial advisers, and an inventory of the items in your safe-deposit box.

Managing Medications

Many people have questions about how medications will be managed during their stay. You do not need to bring any medications or prescriptions with you. Your doctor will include all necessary prescriptions, including over the counter products, in your detailed medical orders. This process is managed by our in-house pharmacy. Our licensed nurses and nurse practitioners oversee and dispense all medications. When you are discharged, a nurse will review all your medications and determine those that will be transitioned back home with you.
PREPARING FOR A STAY
Having the personal items you want with you during your recovery can bring a sense of comfort and familiarity. Think of this like going to a furnished, extended stay hotel (with laundry service) and the things you might need or want there. We’ve put together a list of frequently asked questions for those pre-planning for a stay, or those helping a loved one who has had an unexpected event.

Frequently Asked Questions
- 1
  
  What do I need to bring from home?
  
  • 4-5 Comfortable outfits
  
  • Comfortable non-skid shoes
  
  • Personal items like a favorite pillow and blanket
  
  • Entertainment items like books and/or an iPad
- 2
  
  What shouldn’t I bring from home?
  
  • Valuables
  
  • Extension Cords
  
  • Wheelchairs and/or Walkers (facility will provide)
- 3
  
  How will I get there from the hospital?
  
  A medical transport company or Marquis representative from the facility will bring you.
- 4
  
  Can I have visitors?
  
  Visitors are allowed 24 hours a day, 7 days a week.
- 5
  
  How will the facility know what care I need?
  
  Your Doctor will send VERY thorough medical orders and our nurses will communicate with them every step of the way.
- 6
  
  Can I bring my recliner?
  
  Not typically, but we promise to keep you comfortable.
Insurance and costs
You or your loved one likely has questions about how much a Post Hospital stay will cost and what will be covered by insurance. We’ve put together a list of some of the most frequently asked questions and their answers. However, the facility of your choice is always available to help walk you through the costs and process. In addition, our Payor Sources chart gives a high level overview and more information can be found in our paper on Senior Health Care Options and Costs.

Frequently asked questions
- 1
  
  When do my copays start?
  
  With Medicare, your copays usually start on day 21. With Managed Care plans, your copay start dates can vary. Our facility representatives are happy to talk this through with you.
- 2
  
  What is covered?
  
  The facility business office will review your insurance plan and provide details about what is and isn’t covered and how much a copay costs.
- 3
  
  What is the copay?
  
  Marquis doesn’t set the copay rate, this is determined by your insurance company. We are reimbursed by the insurance company and don’t add extra fees or negotiate fees.
- 4
  
  Will my insurance cover 100 days of care?
  
  This depends. We are your advocates and will work with your insurance company with your best interests in mind. We are always on your side and working within insurance guidelines to get you the best coverage possible.
- 5
  
  Will I know if/when my coverage runs out and if it does, will you discharge me?
  
  Our aim is to proactively address issues with the insurance company and family as needed to avoid surprises. There are some cases where an insurance company will cut coverage. Although unlikely, if this does occur we hold daily meetings with critical staff during which we would create a plan for the client’s safe transition.
Admissions

You will be assigned an admissions liaison, whose job is to ensure the transition goes smoothly. The liaison will have access to your hospital records and will work with case managers to oversee and manage your transition from place to place. Once you arrive at the Marquis facility you will be warmly greeted by staff and shown to your room. Within the next 24 hours you can expect nursing, social service, dietary and therapy assessments as well as admission paperwork. It helps to be patient and prepared during this time, so bring insurance cards for admission paperwork. It’s also important to be mentally prepared for more therapy than the hospital. Remember that your ultimate goal through rehabilitation is to gain more independence and return to a lesser level of care.
Wills and Estates
Estate planning is an important arrangement for all aging people to have in place to avoid family disputes, legal fees and/or the government taking possession of assets. It’s also a chance for an aging person to make their wishes for their finances and health care known to their loved ones so everyone can be on the same page. Estate Planning documents can be drawn up by a trusted attorney, or you can use a do-it-yourself legal document source such as LawDepot.com.

Simple Steps for Estate Planning
- 1
  
  Create Estate Planning Documents
  
  The most critical documents for the aging person and their family to create or have created by an attorney are a Last Will and Testament, Power of Attorney and Health Care Directive.
- 2
  
  Create The Last Will and Testament
  
  This document allows the person to specify gifts to family members, loved ones and organizations after they are gone. Without it, the government can decide what happens to your possessions, property and money.
- 3
  
  Appoint an Executor for the Will
  
  An executor administers the estate and is responsible for collecting assets, paying debts and taxes, and then distributing the remaining assets of the estate in accordance with the direction of the will. An executor should be a trusted person that has the capacity to handle this responsibility.
- 4
  
  Update the Will as Needed
  
  In order to ensure the validity of a Will, certain events mandate that updates are made. Use a Codicil if there is a change in executor, guardian or you want to make simple changes or additions. If there is a marriage or divorce or you need to add or remove a beneficiary, a new Will should be created.
- 5
  
  Designate Power of Attorney
  
  This document gives another party the legal authority to act on your behalf to manage legal and financial affairs if you no longer can. The power can be very broad, or limited to a specific task or tasks. Power of Attorney should be given to someone that you trust and understands your wishes.
- 6
  
  Create a Health Care Directive
  
  This document allows the aging person to determine specific choices for their medical treatment if they are no longer able to communicate or provide consent. It also allows for a trusted person to be designated to make healthcare decisions for them if they are unable to do so.
- 7
  
  Discuss the Documents with Loved Ones
  
  It’s important to let your loved ones know that you have created these documents and to share the parts you want them to know. Some people also write a letter to go along with their Will that details certain wishes (like funeral arrangements or who they want items of sentimental value to be passed to).
- 8
  
  Organize your Digital and Paper Files
  
  Pull together the documents your executor will need, such as: insurance policies, bank and brokerage house statements, and pension and other employee-benefit information. Keep an up-to-date list of assets, contact info of your legal and financial advisers, and an inventory of the items in your safe-deposit box.

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