HomeAdvantage™

HomeAdvantage™ is a 60-day case management program providing tailored services through in-home and telephonic support to Snohomish County members who have one or more chronic illness. Members benefit from personalized support and range of services offered directly by Homage. Results include increased confidence in navigating the healthcare system, greater awareness of and access to community resources. HomeAdvantage™ closes the gap between social and medical issues impacting member health and quality of life through proactive care management.

Homage has been providing vital non-medical services directly impacting Social Determinants of Health (SDoH) in the community for over 45 years. Having a suite of services under one roof uniquely positions Homage to provide comprehensive support. HomeAdvantage™ Care Coordinators are the established link to helping people age well in place.

Program Design:

A HomeAdvantage™ Intake Specialist receives referral from the hospital or clinic, and connects Care Coordinator with the member to schedule their first visit, either in the hospital or at home. This visit will include an initial SDoH evaluation and preliminary care plan development tailored to the member’s specific needs.

Care Coordinators assist members to review and better understand their Patient Health Record (PHR) to identify ‘red flags’, ensure follow up appointments and transportation are scheduled, review medication adherence and coordinate resources to encourage their recovery. Resources provided directly by Homage include in home care coordination, transportation, meal delivery, and fall prevention education.

Prior to program graduation, members will be provided with post-transition resource information as part of a Follow-up Care Plan. A member satisfaction survey and post-service SDoH evaluation will be conducted after program is completed.

Member Experience:

Download Homage HomeAdvantage pdf

Eligibility:

  • Enrollment in Medicare Advantage Plan in Snohomish County
  • Has one or more chronic conditions including: CHF, COPD, Diabetes, Asthma, Chronic Kidney Disease, Cancer, Parkinson’s, MS, Autoimmune Disorders
  • Hospital admission or high risk for admission referred by physician.

Services Offered:

  • In-home Care Coordination
  • Medical Related Transportation
  • Home Delivered Meals
  • Fall Prevention Education

Outcomes Expected:

  • Reduced SDoH risk score
    • Reduced risk of readmission
    • Reduced risk of ED visits
    • Improved awareness of available medical and non-medical resources
  • Increased Healthcare IQ / health literacy
  • Increased well days
  • Decreased length of stay
  • Improved member experience

If you are a payer or provider interested in learning more about HomeAdvantage™, please contact:

Richard Robinson, Director of Health and Wellness,

Homage Senior Services

5026 196th St SW Lynnwood, WA 98036

rrobinson@homage.org 

425-209-2221