Ethnic/Racial Minorities - General
DHHA's ongoing In-Home Nursing Program empowers poor, frail seniors and disabled adults by supporting them as they age in place in their own homes. The program is divided into the following categories:
1) Skilled Nursing Care: Nurses provide ongoing, regular in-home nursing visits, health assessments, nursing interventions, medication management, case management, a nurse-led exercise program, and delivery of emergency nutritious food.
2) Certified Nurses' Aides/Personal Care Providers (CNAs/PCPs) provide hands on care and assistance with activities of daily living. Services include bathing, dressing, light meal preparation, and other personal care services to support our patients as they age in place with dignity.
3) Pastoral Care and Friendly Visitor Program: provide companionship for unmet social and spiritual needs through volunteer Friendly Visitors and a Dominican Brother.
In 2016, 162 in-home patients were provided with 5,433 visits.
Key evaluation results of our 2016 Outcome Study reveal that
• Only 5% of patients required transfer to an assisted living facility or nursing home.
• 85% of patients report feeling more confident in taking their medications. DHHA nurses regularly work with patients to improve their medication adherence but there is always a small percentage who are non-compliant.
• 55% of In-Home patients had lower blood pressures after 4 regular DHHA visits. DHHA nurses continue to work with the 45% whose blood pressures did not go down to better control hypertension.
• 98% of DHHA In-Home patients report that the support of DHHA improves the quality of their lives and 63% of patients feel they are less likely to use the ER or hospital because of the care DHHA provides to them.
• Over 94% of In-Home patients report that the care provided by DHHA helps them more effectively manage their health. The remaining 6% were offered support from DHHA Patient Advocate to connect them with other community resources to enhance their health.
• 95% of physicians surveyed felt their patients managed their chronic disease more effectively since starting with DHHA.
A DHHA patient physician states, "I feel DHHA is superb, conscientious and provides outstanding care. I have great appreciation and confidence that this is as high quality home health as can be found in Denver!"
Ethnic/Racial Minorities -- General
DHHA targets services to the poorest of the poor, under-insured and vulnerable seniors and disabled adults residing in rent-subsidized housing sites. DHHA Wellness Clinics are monthly, free of charge and are conducted by registered nurses, highly trained volunteers and patient health advocates. These clinics provide life-saving screening, assessment and substantial follow-up care acting as a bridge to the complex health care and social service systems. By actively performing screenings and offering education for our patients, we strive to uncover and address social determinants of health that negatively impact their lives. Wellness Clinics fill a gap in services for a population that frequently falls through the cracks in the system. Extra care, attention and support gives patients the ability to continue their health maintenance. A major goal of DHHA's Wellness Clinics is to ensure patients see their primary care physician no less than once annually. A Patient Health Navigator provides care coordination to support patients in properly navigating and utilizing community resources such as transportation, dental care, eye care, etc. If DHHA nurses see that a Wellness Clinic visitor is in need of in-home nursing care, they will refer Clinic participants to become a DHHA In-Home Nursing Program patient which is offered without regard to the patient's ability to pay.
DHHA's Wellness Clinics provide comprehensive services that specifically address the health needs of our older adult patients based on revealed areas in which a rich base of research evidence exists. A study on "Addressing the Needs of an Aging America" conducted by the University of Pittsburgh's Stern Center for Evidence-Based Policy identified prevention and wellness interventions to improve the quality and cost of healthcare. These include activities such as screening and early detection, patient education and empowerment and patient navigation.
DHHA's Wellness Clinic has all these components. Nurses screen for undiagnosed chronic disease, educate patients on how to effectively manage chronic disease, and advocates for patients to become more active in navigating the health care system on their own.
In 2016, 562 low-income seniors were served at 15 Wellness Clinics with 2,861 visits. DHHA Wellness Clinics had 36 new patients who made their first visit and fourth visit in 2016. 13 of those patients had elevated blood pressures upon their first visit and were provided patient-centered interventions on how to bring their blood pressures down. 69% (9 out 13) of those patients had lower blood pressures by their fourth visit. Wellness Clinic staff is continuing to work with the four patients whose blood pressures did not decrease.Of the Wellness Clinic patients who were surveyed who take medications, 97% agreed that they were more confident taking medications due to DHHA nursing care. DHHA nurses regularly work with patients to improve their medication adherence but there is always a small percentage who are non-compliant. During 2016, 114 hospitalizations were reported to DHHA's clinical team by Wellness Clinic patients. Wellness Clinic staff attempted to follow up with 100% of these patients. Of the 85 patients who were able to be reached, 89% did not have a readmission to the hospital within 30 days.92% (482 out of 522; 22 declined to answer) reported seeing their PCP in the past year. During 2016, 88 hospitalizations were reported to DHHA's clinical team by Wellness Clinic patients. Wellness Clinic staff attempted to follow up with 100% of these patients. Of the 65 patients that were able to be reached, 89% did not have a readmission to the hospital within 30 days.
Blind & Vision Impaired
Disabled, General or Disability unspecified
Ethnic/Racial Minorities - General
Dominican Home Health Agency's Durable Medical Equipment (DME) Loan Program provides a wide-range of loaned adaptive medical equipment such as wheelchairs, walkers, bedside commodes, bath/shower benches, hospital beds, etc., enhancing mobility and independence for our patients as well as others in the Metro Denver community with limited resources and medical needs. In 2016, this program served 1,008 community members in need.
Throughout the year, volunteers and community members involved with various senior care, nursing, and assisted living communities in the Metro Denver donate durable medical equipment to the DME Loan Program. We receive the majority of donations from community members who no longer need their durable medical equipment. The general community benefits greatly from free loaned programs such as ours.
We receive calls from social workers and occupational therapists who are so grateful for this program that can help their low-income patients who have no resources to purchase the equipment.