Help at Home’s Care Coordination Program Prevents Hospitalizations, Increases Caregiver Satisfaction

Home Health Care News October 8, 2024
Audrie Martin

Nearly two years ago, Help at Home launched its care coordination program, with the belief that caregivers remained an untapped resource for valuable business insights.

Broadly, the company captures detailed observations from caregivers in real time to identify client needs and predict unforeseen events.

The care coordination program depends on caregivers submitting weekly observations and reporting any changes in client conditions.

Community health workers (CHWs) also conduct a self-reported health assessment using the Centers for Medicare & Medicaid Services (CMS) Accountable Health Communities Health-Related Social Needs screening tool. This tool includes 24 questions about the home environment and access to eligible benefits and services. These questions help identify issues such as housing instability, food insecurity, transportation challenges, financial strain, safety...

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