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Connected Care Ohio is a new telehealth program through the Western Reserve Area Agency on Aging (WRAAA) that focuses on case management, transition of care, health coaching, and community linkages. The program aims to reduce health disparities and monitor health conditions to avoid unnecessary emergency room visits and hospital admissions.
When a patient signs up for the Program, the patient will receive, at no cost, a tablet, blood pressure cuff, a thermometer, scale, glucometer, and oximeter. The assigned Care Coordinator will be able to assist with monitoring the patient’s vitals and provide coordination with medical professionals.
If a patient meets the eligibility requirements and is interested in waiver services but unsure how to navigate the system, please make a referral. If enrolled, the Telehealth Care Manager will work with the patient to coordinate financial eligibility with Job and Family Services while coordinating care with WRAAA's pre-enrollment unit and ADRC.
The program will assists members with multiple chronic conditions and frequent use of the emergency room and hospital. WRAAA case managers will coordinate care, manage transitions between levels of care, and work collaboratively with all providers to identify the best care plan possible. Areas of focus will include addressing members' psychosocial barriers to health condition improvement, medication compliance, and member goals, resulting in decreased emergency room and hospital utilization.
Assists members to ensure care is uninterrupted when moving between care settings or to the home. Care settings may include hospitals, mental health facilities, substance use treatment facilities, skilled nursing facilities, long-term care facilities, rehabilitation facilities, and correctional facilities. Areas of focus include coordination of services, reviewing discharge plans, and possibly connecting members to longer-term care management programs.
Helps members at risk for or diagnosed with adult and pediatric asthma, congestive heart failure, diabetes, and COPD. Health Coaches provide education, coaching, and support to members to help them understand and manage their conditions.
Assists members by addressing social determinants that have an impact on member health. The care manager provides care coordination and referral services to members requiring navigation assistance and access to plan and community-based benefits and resources.
To make a referral email: telehealth@areaagingsolutions.org for assistance.
Check out our new online database where you will be able to search for everyday needs such as home-delivered meals, utility assistance, housing, and more!