Care Coordination

Program funded: January-December 2019

Older adults, as well as adults living with disabilities, and their families face a number of stressors that challenge their ability to access healthcare and maintain independence. Depression, chronic pain, illness, sensory changes, loss of mobility, and lack of transportation are issues that often require assistance and support from community-based organizations. Yet navigating the complex maze of social and health services can be a challenging, frustrating, and ultimately overwhelming experience for people with illness, injury or disabilities.

Homage’s Care Coordination program supports older adults, people with disabilities, and individuals facing recovery from illness or discharge from the hospital. The care coordinator works with the patient to identify what services are needed to promote their health and well-being and reduce the risk of readmission to the hospital. Having identified the needs of the individual they then work to connect them to the services and support that will stabilize their situation, increase access to health care and maintain their independence.

For more information, visit the program website.