Chronic Disease Management

Help your patients avoid hospital admissions and poor health outcomes with expert care in the home to address chronic age-related challenges. Integrative Aging In Place fills the gap in home-based services for chronic disease management. Let us help foster the behavior change and self-management needed for patients to act on the guidance you provide in the clinic visit.

Home care (aka home health) is best equipped for hospital-level care in the home after an acute medical event. Services are covered under Medicare Part A and the patient must be homebound.  

What about managing chronic disease? 

We specialize in the delivery model that fits: Outpatient therapy in the home.

• Patient need not be homebound
• No acute event required, only medical necessity
• Medicare Part B covers occupational therapy & most DME
• Affiliates in physical & speech therapy, mental health counseling, geriatric care management 
• Receive word about a fall or problem managing medications

• Fall Prevention
• Medication Management
• ADL & IADL
• Mobility
• Functional Cognition
• Nutrition & Hydration
• Home Safety

• Cardiovascular, including heart failure, CAD, HTN, CVA
• Type 2 diabetes mellitus
• COPD
• Dementia
• Cancer
• Chronic kidney disease
• Arthritis & spinal changes
• Parkinson's disease

Fax a script today to get started.