Knee replacement
Walking, transfers, home exercises, medication teaching, and ordered wound care.
Read the knee guide →The surgery is over. The work of getting home has just begun.
Focused nursing and therapy help eligible patients turn the orthopedic plan into safer movement, daily routines, and steady progress at home.
Discharge instructions meet real life at the front door
At home, “walk regularly” becomes a hallway, a bathroom trip, and three steps at the entrance. Medication instructions become bottles on the kitchen counter. The Home Stretch connects the provider's order to those real rooms, routines, equipment, and questions.
Who may qualify
- Patients coming home after knee or hip replacement.
- Patients following an ordered recovery plan after a fracture or spine procedure.
- Patients who need intermittent skilled nursing or therapy and for whom leaving home requires help, equipment, or a major effort.
Eligibility, coverage, the service address, current need, and OHH's ability to staff the referral must be confirmed before admission.
What happens after the referral
Referral
Know what is ready
Our team reviews the referral, order, coverage, home address, and required documentation—and identifies anything still missing.
First visit
See where the plan must work
The clinician assesses the ordered needs, home setup, medications, equipment, and the patient and caregiver's immediate questions.
Practice
Build confidence through the real tasks
The team teaches the plan, practices ordered movements and routines, watches for changes, and keeps the provider informed.
Next step
Prepare for what follows home health
The care plan works toward the ordered goals and the next appropriate setting, such as outpatient therapy or independent work.
One coordinated home health team
Depending on the order and patient need, care may include Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Medical Social Work, and Home Health Aides. Medical Social Work and Home Health Aides are currently unavailable. Our clinical team reviews patient outcomes and continuously refines our therapy protocols.
Recovery guides by procedure.
Each guide stays general. The surgeon's instructions and the patient's plan always come first.
Hip replacement
Home setup, individual precautions, everyday movement, and coordinated skilled care.
Read the hip guide →Fracture and spine
Ordered precautions, safer routines, equipment, and a practical home plan.
Read the guide →Ask about The Home Stretch before discharge.
Call or request a callback. We will explain what the referral needs and whether The Home Stretch may fit.
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