Chronic Care Programs | RightPath®

We understand that living with a chronic medical condition (cancer, COPD, diabetes, heart failure (CHF) etc.) can be challenging and overwhelming at times. With the AccentCare, proprietary RightPath programs we can focus on your unique needs to help manage your condition, while optimizing your health and independence, wherever you call home.

RightPath programs use expert clinical guidelines and evidence-based practices that complement your physician’s orders. And our patient outcomes rank above national averages for many measures, including lower unplanned re-hospitalization rates.

Cardiac Care
  • Patients with congestive heart failure (CHF) often suffer from symptoms that interfere with daily life, such as shortness of breath, fatigue and weakness. Our RightPath® CHF program may help improve these symptoms so that patients are able to live more comfortably while managing their condition.
  • For CHF Medicare patients, our program reports an 18% unplanned re-hospitalization rate versus the average (26%) as measured by Stone and Hoffman. In fact, AccentCare patients show improvement in breathing and improvement in ambulation for a higher percentage of patients than the average for all home health companies.
  • Our Cardiac Program includes:
    • Clinical pathways for congestive heart failure and heart disease
    • Peak flow testing and action planning for reactive airway conditions
    • Individualized care plans
    • An interdisciplinary team approach including skilled nursing, physical and occupational therapy and other disciplines
    • Telemonitoring
    • Care transition and coordination support
    • Patient and family education on medication, nutrition and self-management
COPD
  • Living with COPD (Chronic Obstructive Pulmonary Disease) can require daily management. Our RightPath® COPD program can help manage symptoms and improve ambulation.
  • As measured by Strategic Health Programs (SHP), 75% of patients in our program show improvement in breathing versus the average of all home health companies (68%). In addition, AccentCare reports improved ambulation and lower unplanned re-hospitalization rates for COPD patients that exceed national averages.
  • Our COPD program includes:
    • Clinical Pathway specific to COPD management
    • Peak flow testing and action planning for reactive airway conditions
    • Medication management
    • Individualized care plans
    • An interdisciplinary team approach including skilled nursing, physical and occupational therapy and other disciplines
    • Telemonitoring
    • Care transition and coordination support
    • Patient and family education on medication, nutrition and self-management
Diabetes
  • We understand that diabetes requires constant monitoring and management. Diabetes can often lead to other medical conditions such as hypertension and COPD, which are leading causes for re-hospitalization.
  • Our RightPath® Diabetes program reports unplanned re-hospitalization and emergent care hospitalization rates that are below the national average of home health companies as measured by Strategic Health Programs (SHP).
  • We monitor symptoms while maintaining compliance with disease management principles to help ensure diabetic patients have optimal outcomes.
  • Our diabetes program includes:
    • Prevention, detection and treatment of complications
    • Clinical Pathways specific to Diabetes Management
    • Medication management
    • Individualized care plans
    • An interdisciplinary team approach including skilled nursing, physical and occupational therapy and other disciplines
    • Telemonitoring
    • Care transition and coordination support
    • Patient and family education on medication, nutrition and self-management
Joint Rehabilitation
  • For patients who have recently undergone joint replacement, AccentCare has developed the RightPath® Program for Joint Rehabilitation to help address their specific postoperative needs.
  • This program has reported improved outcomes for a higher percentage of patients than the national average of home health companies as measured by Strategic Health Programs (SHP). These outcomes include pain reduction, improved ambulation, improved status of surgical wounds and decreased unplanned re-hospitalization rates.
  • As measured by Strategic Health Programs (SHP), 81% of patients in our program report pain reduction versus the average of all home health companies (76%). In addition, AccentCare reports improved status of surgical wounds, improved ambulation and lower unplanned re-hospitalization rates for at a higher percentage of joint rehabilitation patients than the national average for all home health companies.
  • The program includes:
    • Surgical wound management
    • Pain management
    • Medication management
    • Patient and family education on safety, balance and exercise
    • Individualized care plans focused on therapeutic intervention
    • An interdisciplinary team approach including skilled nursing, physical and occupational therapy and other disciplines
    • Telemonitoring
    • Care transition and coordination support
Late Life Depression
  • Caring for a loved one who is showing signs of depression can be difficult for families and caregivers. Despite the prevalence of late-life depression among seniors, it is a condition that often goes undiagnosed. Symptoms of late-life depression including changes in weight, tearfulness or increased sadness, apathy toward previously enjoyed activities, increased anxiety, increased confusion and misuse of pain or anxiety medication.
  • Our RightPath® Late Life Depression program has helped to reduce symptoms of depression and anxiety for more than 84% of our patients.
  • The program includes:
    • Experienced Behavioral Health Nurses who specialize in depression management
    • Medication management
    • Individualized care plans
    • An interdisciplinary team approach including skilled nursing, physical and occupational therapy and other disciplines
    • Telemonitoring
    • Care transition and coordination support
    • Patient and family education on medication and self-management strategies
    • Ongoing communication with the patient, their physician and their loved ones
Palliative Care
  • Palliative care is specialty care for individuals living with a chronic illness, focused on relief from pain and symptoms while supporting emotional and social well-being. If you or a loved one has an advanced chronic illness such as heart failure, cancer, diabetes or COPD, you may benefit from palliative care at home. Our RightPath® Palliative Care program blends curative and comfort treatments to meet the individual’s goals of care. The program includes:
    • Comfort of the mind and body through active pain/symptom management, emotional and spiritual support
    • Advanced care planning to assist you in developing your goals for care and choices for treatment
    • Individualized care plans to address physical, emotional and spiritual needs based on your personal wishes
    • Patient and family education to enable you to participate in your self-care and make the best lifestyle choices to optimize day-to-day health
    • Medication management
    • Telemonitoring
    • Care coordination to support changing priorities and needs during care transitions

Specialized Programs

AccentCare offers specialized programs to further enhance the patient experience. Our specialized programs focus on your unique needs to help optimize health and independence wherever you call home. The programs are guided by best practices that complement physicians’ orders.

Stroke

More than 70,000 people suffer a stroke (Cerebrovascular Accident or CVA) each year, with more than two-thirds of the survivors requiring rehabilitation.1 AccentCare can help create customized care plans to help patients recover from strokes with in-home care. We provide a variety of therapy and nursing services to address the unique and complex needs of each patient, including:

  • Speech therapy
    • Communication
    • Speech production
    • Language skill recovery
    • Swallowing impairment
    • Cognitive functioning
    • Task sequencing
    • Problem solving
    • Planning and organization
    • Feeding
  • Occupational therapy
    • Range of motion
    • Bathroom assessment and setup
    • Activities of daily living re-training
    • Assistive equipment training and setup
    • Adaptive equipment management
    • Neurodevelopmental therapy (NDT)
    • Range of motion
    • Fine motor coordination
    • Energy conservation
    • Splinting
  • Physical therapy
    • Home safety assessment and set-up
    • Assistive equipment training and setup
    • Neuromuscular re-education
    • Proprioceptive neuromuscular facilitation
    • Range of motion
    • Muscle strengthening
    • Electrical stimulation for muscle re-education
    • Soft tissue mobilization
    • Balance training
    • Functional gait training
    • Positioning
    • Bed mobility
    • Pain management
  • Nursing interventions
    • Medication reconciliation and management
    • Nutrition counseling
    • Disease process education
    • Bowel/bladder program training
    • Late life depression

1 “Post-Stroke Rehabilitation Fact Sheet”, NINDS. NIH Publication No. 11-4846. http://www.ninds.nih.gov/disorders/stroke/poststrokerehab.html

Behavioral Health

At AccentCare, we believe in treating the whole patient. This is especially important for those who may be suffering from anxiety, depression or dementia. Our caregivers can provide much needed support to help address the emotional and social needs of those we serve, while helping them maintain independence and quality of life in the comfort of home. Our caring staff can assist with:

  • Activities of daily living to ensure health, hygiene and safety
  • Companionship and conversation to deter loneliness
  • Transportation to appointments, errands and social activities

Our Behavioral Health Nurses provide:

  • Supportive counseling
  • Medication management
  • Therapeutic techniques, including:
    • Cognitive Behavioral Therapy
    • Problem Solving Therapy
    • Grief Therapy
    • Interpersonal Therapy
    • Positive Psychology Therapy
  • Additional support to family caregivers who may experience physical and emotional stress
Dementia

AccentCare can help address dementia behaviors, while helping to ensure a safe environment to help you or your loved one remain in the comfort of home for as long as possible. Our program for dementia care includes:

  • Assessment and treatment of behavioral and psychological symptoms of dementia as well as physical manifestations
  • Medication management
  • Cognitive behavioral therapy
  • Utilization of cognitive training, muscle memory and validation therapy strategies
  • Adoption of your loved one’s perspective by providing a supportive social environment
  • Caregiver training and support strategies

When your loved one has access to skilled healthcare professionals at home, it improves your quality of life too. We provide supportive counseling for caregivers who may feel overwhelmed and alone, in addition to training and support strategies to help you cope with the potential stress of caring for a loved one with dementia. When you have support, you can spend less time worrying about how to provide care, and more time appreciating that your loved one is being cared for at home with professional assistance.

We Honor Veterans
  • We understand Veterans may have unique needs at the end of life. With that in mind, we provide specialized services for our Veteran patients that includes:
    • A Veteran-to-Veteran Volunteer program
    • Transitioning Veterans across venues of care, including VA medical centers
    • Assistance for Veterans and families to access benefits
  • In partnership with We Honor Veterans, a program of the National Hospice and Palliative Care Organization and the Department of Veterans Affairs, most of our offices have achieved a Level Four standing, the highest distinction awarded. Through this partnership, we have taken a number of actions, including:
    • Conducting Veteran-specific outreach presentations
    • Maintaining a relationship with a designated VA contact at the nearest VA medical or community clinic
    • Integrating the Military History Checklist into our admission procedures
    • Actively participating in local, regional and statewide partnerships
    • Maintaining policies and procedures reflecting commitment and service to veterans

Click here to learn more.

Home Health Technology

Increasing Capacity for a Wide Range of Patients including those with COVID-19

While all home health patients on our service have in-person visits from clinicians, AccentCare has partnered with Medtronic and Synzi to supplement care with virtual visits and telemonitoring technology to serve more of your patients with safe, quality care.

What it is:
AccentCare has a dedicated Telehealth Team to support remote care.

How it benefits patients

Protects patients by helping to:

  • Reduce exposure/spread of COVID-19
  • Reduce hospitalization
  • Reduce emergency department utilization
  • Offers a secure, HIPPA-compliant platform
  • Increases capacity for patient visits overall, by more effectively deploying home health resources

How it works

  1. Physician orders home health for patient
  2. Accepted patient receives welcome call
    • Introduces and explains home care
    • Validates information (including presence of smart device)
  3. Nurse makes initial home visit
    • Conducts routine assessment
    • Develops plan of care
  4. Nurse evaluates applicability of supporting technology
    •  Determines need for telemonitoring
      – Screens for most appropriate option
      – Orders appropriate device
    •  Determines if patient could benefit from virtual visits

Our Services

Questions? Please use the site Chat feature for your convenience OR call 1-800-834-3059.