Support Services

Support Services are support focused services or capabilities designed to meet specific support needs of patients based on the support services' criteria. These services may or not be integrated with the patient's care plan or with a Care Management Program. The criteria includes risk scores, episode, health conditions, Care Management Programs enrollment and health determinants. These are support services typically provided by community and social services to address non-medical determinants. These support services are arranged and coordinated by providers to their attributed patient populations to improve health outcomes.

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Caregiver Support

Education
Respite Care
Family Caregiver certification

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Community Health Worker

Address Social Determinants of Health

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Community and Social Services

Legal Assistance
Programs - Smoking Cessation Programs, Alcohol Anonymous
Food pantries, housing and utilities subsidies
Program called Health Leads helps patients fill basic resource needs such as housing, transportation, food, and education by assigning student volunteers to work as advocates on their behalf. (3/24/16)
Feds Funding Effort To Tie Medical Services To Social Needs (1/7/16)

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Employment Support

Joblessness

See Employment Support Examples

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Financial Counseling

Disability or Medicaid Applications
Medication discount programs
Debt, financial constraints
Understanding complex medical bills and payment

See Financial Counseling Services Examples

See Financial Counseling Examples

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Home Support

Cleaning, maintenance, repairs
Delivery services
Technology Support - In home set-up, training and repair

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Housing Support

Homelessness - temporary housing or shelters
Utilities and housing subsidies

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Legal Support

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Medication Support

Drug Discount Programs
In-home Medicine reconciliation
Pharmacist support
Medication Adherence - reminders,electronic pill boxes
Medicine home delivery

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Nutrition Support

Registered dietitians
Education and cooking instructions and classes
Assess/triage eating disorders and other barriers (i.e., financial, access to fresh food) preventing healthy nutrition
Meals on Wheels
Food banks

See Nutrition Support Examples

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