COMMON MAPS
Map version new-york activity top-down
MCP Main site Contact
Menu
30 ORGS · 128 ACTIVITIES ← all strategies ·
approach

Home-Based Care Model

methodology: home_based_care_model

By delivering integrated health and support services directly in patients’ homes, we improve health outcomes and preserve independence, because care in a familiar, non-institutional environment enhances comfort, adherence, and personalization while reducing fragmentation and institutional reliance. This strategy centers on reorienting care delivery from clinical or institutional settings to the patient’s home, not merely as a logistical choice but as a therapeutic one. It assumes that the home environment enables more holistic, coordinated, and dignified care by allowing providers to observe and respond to real-world living conditions, support autonomy, and integrate medical, social, and functional needs. Unlike facility-based models or general outreach programs, this approach treats the home as a clinically meaningful site of care planning and intervention.

30
orgs running it
128
activities of those orgs
12
activity groups touched
who runs it

Organizations running this strategy · 30

what it looks like in practice

Activities of orgs running this strategy

A sample of programmatic activities from the orgs above — what the strategy looks like on the ground.

  • Home care and healthcare services ULSTER HOME CARE INC
    direct service
    Provides home care, healthcare, and quality of life services to support residents of all ages in maintaining health and remaining at home in the Mid-Hudson Valley.
  • Conduct staff training and professional development VNSW FOUNDATION INC
    capacity building
    Provides specialized training for home health aides in disease-specific conditions, dementia, clinical care, and customer service; trains healthcare students and professionals; and hosts professional development seminars for regional health partners.
  • Deliver care navigation and wellness planning VNSW FOUNDATION INC
    direct service
    Provides personalized care navigation and life planning services for older adults and individuals with complex needs, including support for aging in place, enrollment in public benefits, coordination with community resources, and development of individualized wellness plans. Also offers care navigation services to employers to support employees during life transitions.
  • Deliver comprehensive home healthcare services VNSW FOUNDATION INC
    direct service
    Provides skilled nursing, physical and occupational therapy, speech therapy, home health aide services, medical social work, and medical equipment and supplies to patients in Westchester, the Bronx, Dutchess, Putnam, and Rockland counties. Services are delivered in-home and include care coordination with physicians and other healthcare providers.
  • Fund and support VNS Westchester’s healthcare programs VNSW FOUNDATION INC
    grantmaking
    Funds and supports the sustainability of Visiting Nurse Services in Westchester, Inc.'s healthcare programs and services through resource development and charitable outreach.
  • Provide specialty and preventive health programs VNSW FOUNDATION INC
    direct service
    Offers telehealth remote patient monitoring, cardiac care, pain and palliative care, mental health home care, fall prevention using interactive home-based technology, and community health initiatives such as influenza vaccinations and monthly health screenings for at-risk seniors at community sites.
  • Publish organizational reports and consolidate operations VNSW FOUNDATION INC
    capacity building
    Publishes annual reports and consolidated operations of affiliated entities into a single headquarters to improve organizational efficiency and transparency.
  • Conducts Community Health Needs Assessments and develops implementation strategies EMPIRE HOME INFUSION SERVICE INC
    research
    Conducts triennial Community Health Needs Assessments (CHNAs) using quantitative and qualitative data, stakeholder input, and public feedback, and develops CHNA Implementation Strategies and Community Service Plans to guide hospital and community benefit programming in the Capital Region.
  • Operates advanced diagnostic imaging services including 3T MRI EMPIRE HOME INFUSION SERVICE INC
    direct service
    Provides 3T MRI services at outpatient locations including the Walmart Plaza on Route 4 in East Greenbush and at St. Peter’s Hospital in Albany, enhancing patient access and comfort.
  • Provides cardiac diagnostic and same-day care services EMPIRE HOME INFUSION SERVICE INC
    direct service
    Offers same-day evaluation and diagnostic testing for non-life-threatening cardiac symptoms, including echocardiogram, electrocardiogram (EKG or ECG), and stress testing.
  • Provides comprehensive breast care services EMPIRE HOME INFUSION SERVICE INC
    direct service
    Offers multidisciplinary breast care through certified mammographers, radiologists, pathologists, oncologists, surgeons, nurses, and nurse navigators, with facilities accredited by the National Accreditation Program for Breast Centers and designated as a Breast Imaging Center of Excellence by the American College of Radiology in Albany and Troy.
  • Provides home infusion services EMPIRE HOME INFUSION SERVICE INC
    direct service
    Delivers accredited home infusion therapy services, administered in patients' homes and accredited by the Community Health Accreditation Partner (CHAP).
  • Blizzard bag food distribution for weather-related disruptions THREE VILLAGE MEALS ON WHEELS INC
    direct service
    Prepares and delivers blizzard bags containing non-perishable food items to clients in the fall to ensure continued food access during winter weather-related service interruptions, in partnership with community groups such as the Leo Club, Teen Connect, and Emma S. Clark Memorial Library.
  • Client intake and assessment by volunteer nurses THREE VILLAGE MEALS ON WHEELS INC
    direct service
    Utilizes volunteer nurses to conduct client intakes and assessments to determine eligibility and dietary needs for meal delivery services.
  • Daily safety and wellness checks during meal delivery THREE VILLAGE MEALS ON WHEELS INC
    direct service
    Conducts daily visual safety checks by requiring recipients to be present at delivery and having drivers confirm receipt, enabling early identification of health or safety concerns among homebound clients.
  • Home-delivered meal program for homebound individuals THREE VILLAGE MEALS ON WHEELS INC
    direct service
    Provides home-delivered meals to homebound, disabled, chronically ill, or convalescent individuals who are unable to prepare their own food. Delivers two meals per day (a hot lunch and a cold evening meal) Monday through Friday to ensure nutritional support and safe food handling in compliance with Health Department regulations.
  • Need-based financial assistance for meal recipients THREE VILLAGE MEALS ON WHEELS INC
    direct service
    Offers need-based subsidies to assist clients with meal costs, ensuring no one is denied service due to inability to pay.
  • Office volunteer support for meal delivery operations THREE VILLAGE MEALS ON WHEELS INC
    direct service
    Engages office volunteers to support operations including route coordination, data entry, mailings, and delivery of diet slips to meal preparation sites, ensuring smooth administrative functioning.