Concierge Care at Home Program

Care At Home Logo

Concierge Care at Home Program

At CINQCARE, we call those we serve Family Members because we provide the same level of care to you as we would our own family. And, when we say caregiver, we mean attendants, aides or any other helpers involved in your care.

Don’t have a caregiver? That’s ok, our health navigators will work with you to ensure you have the help you need.

Delivering Comprehensive Care to
CINQCARE Family Members

The Care at Home Clinical Support Team and Remote Action Planning Program provides eligible Family Members and their caregivers with around-the-clock support to control chronic medical conditions in the comfort and safety of their home.

This helps prevent emergency room visits, inpatient admissions and readmissions, particularly for those with multiple medical conditions.

Our program supplements the Family Member’s primary care physician by providing remote monitoring, assisting with self-management, and teaching caregivers how to assist and even treat in the home short term.

Medical conditions
include:

  • Asthma
  • Anxiety
  • Chronic Kidney Disease
  • Congestive Heart Failure
  • Depression
  • Chronic Obstructive Pulmonary Disease
  • Diabetes
  • Frailty
  • Hypertension

Remote monitoring
methods include:

  • Emails
  • Text messages
  • Live and automated phone calls
  • Blood glucose monitors
  • Blood pressure machines
  • Medication dispensing devices
  • Peak expiratory flow monitoring
  • Pulse oximetry
  • Scales for daily weights

Here’s how it works

CINQCARE Family Members who may benefit from a Care at Home Visit are identified by their primary care provider or Health Plan.

  1. Family Members are assigned a Clinical Management Support Team, which we call a “POD,” consisting of a physician or nurse practitioner, a registered nurse and a health navigator or care coordinator.
  2. The Family Member is contacted to obtain information about their communication preferences and to schedule an initial assessment.
  3. The physician or nurse practitioner conducts a 45–60-minute comprehensive assessment either in the Family Member’s home or via telehealth.
  4. The assessment results are discussed with the Family Member and their caregivers. From that, a personalized monitoring plan with proactive remote actions is developed.
  5. If needed, home monitoring devices are ordered and installed, and rescue medication packs are prescribed and dispensed. Caregivers may be taught how to monitor and when to enact the action plan.
  6. The registered nurse regularly sends out messages to the Family Member and caregivers to find out how they are feeling and/or reads the results from remote monitoring devices.
  7. When the Family Member isn’t feeling well or if remote biometric readings suggest a condition is worsening, a member of the POD reaches out to initiate the pre-planned clinical actions.
  8. The Care at Home POD staff provides ongoing education and support to the Family Member and caregivers.
  9. When needed, the physician or nurse practitioner renders short term treatment via in-home visits and/or telehealth.
  10. A 24/7 Urgent Care Line remains available to the Family Member and caregivers.
  11. When needed, the health navigator or care coordinator helps to arrange transportation and appointments, and provides support such as ensuring that the Family Member has nutritious food in their refrigerator.
  12. A copy of the assessment results, the action plan, and notes on all encounters are shared with the primary care provider to integrate into the Family Member’s care plan.
  13. The POD continues working with the Family Member until their personal health goals are met.

Need more information?
Give us a call:    844-401-4663