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Innovating Effective Social Care Solutions
For the past 25 years, Partners in Care Foundation has been innovating effective solutions addressing problems associated with social care. Today, our talented team leads the way in designing effective strategies to serve the most vulnerable populations among us as they navigate the complexities of today’s health care systems.
We know that once people leave a medical facility they are often on their own. An example of this is 23-year-old Steve. Recently discharged from a nursing facility following a stroke, he is now unable to perform the basic activities of daily living. Partners ’ Social Care Transitions Programs addresses non-medical threats that hinder successful transitions to home and ensures that recovering individuals like Steve have access to appropriate social care they need at home.
Just identifying who needs help isn’t enough. Those most in need of social care are often also the hardest to reach. They need to be found, enrolled, and fully served.
Our Engagement Center exceeds industry outreach success standards. This talented team achieves exceptional success in contacting and enrolling participants into a variety of social care services supporting their medical care and ongoing health.
Our team and technology successfully close the gaps that threaten the alignment of social and health care. Their skill has made them a sought-after supplier for health plans and providers throughout the United States.
Alignment Leads to Healthier Lives
Our programs align social care and health care, allowing people to lead happier and healthier lives.
A good example of this is Danielle. She takes seventeen different medications for health conditions related to congestive heart failure. She reported shortness of breath, extreme weakness in her legs, and had trouble standing for longer than five minutes. After a HomeMeds assessment, it was discovered that one of her medications was known to make symptoms of congested heart failure worse!
HomeMeds is Partner’s medication inventory and assessment tool that is invaluable in identifying medication problems that could lead to falls, drugs that affect mental state, harmful drug interactions, drug duplication (generic vs. brand name), and other issues that put older people at risk. When issues are identified, HomeMeds works with a pharmacist to suggest modifications to prevent medication related hazards and hospitalizations.
