Health Care Innovation Awards: Project Profile


Project Title: "HOME CARE +, a care coordination model for persons receiving home care to prevent hospital, ER and nursing home admission"
Geographic Reach: South Carolina
Funding Amount: $2,884,719
Estimated 3-Year Savings: $3,100,611


The South Carolina Research Foundation received an award to test a care coordination model for recipients of home care that are nursing home level of care in South Carolina. The project uses a person-centered coaching approach by a Home Care Consultant (nurse) to engage the participant as a team member in their health care decision making. Through a team approach consisting of their personal care aide who receives a 12 module chronic disease management curriculum and care coordination on a long term basis, this approach will encourage the proper care at the proper time, care continuity, medication adherence, disease management, reduce avoidable hospitalizations, and emergency room visits and increase the length of time to transition to a nursing home.

Over a three-year period, the South Carolina Research Foundation will create an estimated 16 jobs. These workers will include a program manager and home care coordinators.

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