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Support & Resources

Are you having difficulty sorting through a mountain of details in order to make a decision about your next step as you age? Do you or a loved one need help now? The list of resources to the left will help you explore your options. You can also call a JABA Options Counselor in your area directly for assistance.  Also, follow the Virginia Navigator link for more information.

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Care Transitions - Hospital to Home

Are you worried about a loved one coming home from a hospital stay? JABA has partnered with area medical facilities to work with individuals making the transition between hospital and home. Our Care Transitions program is based on a nationally-recognized model proven to reduce hospital readmissions and improve health outcomes for patients. A JABA coach helps patients better advocate for themselves as they recover at home.

JABA is available to provide a “health coach” who may visit you in the hospital or skilled nursing facility, and will come to your home after you are discharged to review your medications, prepare for your follow-up appointment with your primary doctor, understand your health conditions and warning signs, and help you set your own personal goals. For the next month, your coach with follow up with you regarding your medical and other support needs, with the goal of lessening the possibility of you needing to return to the emergency room or the hospital. If additional support is needed, the coach will provide links to other JABA programs which can support you in the long term. If this seems like the right plan for you, or you would like more information, please contact JABA’s Certified Care Transitions Coach.

  • Contact:  Amy Leider, Care Transitions Manager
  • Address:
    JABA Main Office
    674 Hillsdale Drive, Suite 9
    Charlottesville, VA 22901
  • Phone:  434-817-3556
  • Open: 8:30 am - 5:00 pm, Monday - Friday

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