Healthy@Home. Because the first 14-days after discharge can make all the difference.

With the launch of Healthy@Home in 2008, New England Home Care helped pioneer the idea of ‘intensive in-home transitional care’ to help people recover in their homes and avoid repeated hospital admissions. We do that by focusing all our considerable resources on the critical 14-day period, just after hospital discharge, when individuals are most likely to stray from prescribed regimens.

This highly personalized approach has proven to be extremely effective. For instance, for heart failure individuals we have dramatically reduced avoidable readmissions by as much as 25% a year, and we’ve reduced 30-day readmissions by 50%.

It’s an approach we are incorporating into many of our in-home transitional care programs.

What does the Healthy@Home approach include?

  • a multi-disciplinary team focused on life-improvement behavior
  • frequent in-depth assessments to enhance care management
  • frequent personal in-home monitoring and risk-assessment, whether in person with our Zoe monitors or remotely with Tele-Health monitors
  • on-going communication including daily telephone triage and personalized alerts for doctors’ appointments as well as referrals to other community based support