Mission Statement of the FIRST 48

Home health care has seen no significant advancements in recent time, Bowes In Home Care is changing that. We have taken a fresh and modern approach to home health care, using new technologies and techniques.

THE FIRST 48 program is designed to provide the highest level of care to keep those with complex medical conditions at home. From our experience within the Chicago region, Bowes believes the start of a successful program begins with a safe transition from the hospital to the home. Our strong clinical team has designed an assessment tool to layout the foundation for individualized interventions patients will receive immediately upon discharge. Our Transitional Care Team of nurses, therapists, social workers, and CNAs provides comprehensive treatment of the mind, body, and environment to prevent or resolve risk factors associated with re-hospitalizations.

In order to know and understand all of the dynamics in the home environment the time needed far exceeds that of the Nursing and Therapist Evaluations. This is where Bowes has stepped outside of the box in order to provide the time within the home to detect the issues that usually go unresolved.

Our home care staff coordinates information and care, assists patient and caregivers with direct problem solving, and provides patient centered support to address issues, barriers and challenges to achieve a stabilized home environment. Our diverse clinical team, with a wide array of specializations, has created specific diagnosis-specific self care kits which include the necessary tools to assist the patient and caregivers in disease management and control.

By combining thorough assessment and treatment, while stabilizing the home environment and emphasizing self-management of the disease process, Bowes is confident that our reputation established in the suburbs will also exceed expectations in the Chicagoland area.

Qualifying for the FIRST 48

Prior to being admitted to the program, Bowes In Home Care needs to certify that the patient meets the following criteria:

• The patient must be willing to participate in the program
• The patient must be deemed High Risk for Re-hospitalization defined as one or more hospitalizations in the past month
• The patient must have a new diagnosis, or recent exacerbation, of at least one of the following chronic diseases:

  • Congestive Heart Failure (CHF)
  • Cerebro-Vascular Accident (CVA)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetes Mellitus (DM)
  • Cancer
  • Post-Surgical Wound Care
  • Home Safety Concerns

After the FIRST 48 Hours

The patient will be transitioned into one  of our specialized clinical programs, specific to the individual’s disease process:

Congestive Heart Failure

Whether afflicted by heart disease or heart failure, people with heart problems need special care, and Bowes In Home Care can design a home care program to suit their needs.


Our home healthcare professionals can visit people with diabetes in their homes or at assisted living communities to provide care or supplement a healthcare regimen.

Fall Prevention / Total Joints

Through practical lifestyle adjustments, evidence-based programs, and community partnerships, the number of falls among seniors can be reduced substantially.

Cognitive Program

Cognitive activities for the elderly help to keep their minds sharp and alert while reducing the risk or delaying the onset of age-related dementia.

Wound Care

Wound care has become one of the fastest growing needs for home care services. BIHC clinicians are experienced in wound management.

And More...

Our services also include: Chronic Obstructive Pulmonary Disease (COPD), Post Stroke Care, Cancer, Pain Management and more…