The care of frail elders with chronic disease or significant disabilities is a major challenge for both health care systems, health care professionals, families and caregivers.
Racial and ethnic minorities in low-income communities experience higher prevalence of chronic illness, yet, are less likely to access palliative care and hospice.
They wish to live as independently as they can, for as long as they can—at home. Remote monitoring as a supplement to scheduled doctors’ appointments can make a difference in their care at home.
H.E.R.’s Community Care Connection nurse practitioner-led remote monitoring teams monitor and transmit health data and report symptoms to providers via the H.E.R.-GTS Platform and the related App, allowing for early detection through critical alerts about changes in health conditions.
Data collected overtime enables providers to better manage and treat chronic conditions in a way that is timely, meaningful, and realistic for patients suffering from cancer, coronary artery disease, chronic heart failure, COPD, diabetes and hypertension.
H.E.R.’s “Stay-at-Home” Strategies also include:
- Use of AI technologies to prevent and detect elders’ falls at home.
- Links to supportive services to address social determinants of health via the related App.
- Virtual and Friendly Visits and Complimentary Alternative Modalities (or CAM— for instance, food-is-medicine, meditation, tai chi, arts and crafts, music, and the like, to promote wellness and combat loneliness.
Goal: lower costs, decreased hospitalizations and ICU days, and increased hospice utilization while improving care quality and patient satisfaction.
Goal: enable frail elders with chronic disease or significant disabilities to as independently as possible—at home through improved access to care and supportive services.
Goal: Reduce loneliness and isolation.