Caring for individuals with chronic illnesses at home involves various aspects, including disease management, care coordination, and support services. Here’s a breakdown of the key points related to managing health at home for individuals with chronic illnesses:
Chronic Illnesses Covered
Chronic Conditions: Home care services cater to individuals with a wide range of chronic conditions, including heart failure, atrial fibrillation, coronary artery disease, stroke, chronic obstructive pulmonary disease, substance use disorders (SUDs), HIV/AIDS, and serious mental illness ,.
Services and Support
Health Home Services: These services are designed to help individuals manage their physical and behavioral health care and lead healthier, more satisfying lives. They aim to streamline care, improve client outcomes, and reduce reliance on emergency rooms and prevent hospitalizations .
Chronic Care Management: This involves a dedicated healthcare team supporting individuals in their home environment, providing personalized care plans, comprehensive care coordination, and empowering patients to manage their conditions effectively .
Home Health Services: These services, including community health coaching, help prepare older adults and their caretakers to manage chronic diseases at home and access primary and specialty health care services, reducing reliance on emergency rooms and preventing hospitalizations ,.
Advocate Health at Home: Offers compassionate medical care and services, including hospital-level care in the convenience of one’s own home, to help individuals recover from injury, manage chronic conditions, or receive end-of-life care .
Eligibility and Enrollment
Qualification for Chronic Care Management: Typically includes individuals with multiple chronic conditions who require ongoing healthcare management .
Health Home Care Coordination Eligibility: Individuals covered by Medicaid and living with two or more chronic medical conditions, HIV/AIDS, or a diagnosis of serious mental illness are eligible for health home care management services .