“My coach found every resource I needed ‐ and it wasn’t easy!”
Last Updated May 23, 2022

A Bodfish, CA resident gave Coach Ida a run for her care transition money. In his 60s with multiple chronic conditions and recovering from addiction, he needed post‐discharge food, transportation and legal aid. The Bakersfield meals on wheels program didn’t...

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“My coach helped me understand the importance of communicating with my doctor.”
Last Updated January 11, 2021

Margarite was grateful for the visit from her coach, Adrine, and her encouragement and guidance on following up with the doctor. She had not planned to do so, but because Adrine helped her identify some medication red flags, she realized the wisdom of an ed...

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“My mom had multiple prescriptions for the same thing. The Personal Health Record has helped us make sense of things.”
Last Updated January 11, 2021

Before hospitalization, Mabel had been in charge of her own medications. But after discharge, her escalating confusion concerned her family, so they concentrated the coaching session on medication reconciliation. In that process, Mabel’s daughter realized t...

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“My mother couldn’t get to her doctor appointments. Her coach found a solution.”
Last Updated January 11, 2021

Maria’s mom was released from the hospital following treatment for an infection on her leg caused by a dog bite. Her mom was also showing signs of memory problems that made it difficult for her to get to doctor appointments without assistance. Unfortunately...

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“The medication cost was too high. My coach helped me fix that.”
Last Updated January 11, 2021

After being released from the hospital, Wayne was prescribed medication for his condition. The problem was that the medication had a co-pay of $120, too much for Wayne and his wife to pay on their fixed income. Wayne’s transitions coach advised him to conta...

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“Wow! The hospital actually followed me home! In all my years of medical care, not once did the hospital contact me at home. This is exciting.”
Last Updated May 23, 2022

— CCTP Patient Partners’ Community Care Transitions Coaches are trained to help you get the most out of the health care system, and community programs and services. They understand how hard it can be to manage doctor appointments, remember which medications...

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Partners contributes chapter to The Oxford Handbook of Social Work in Health and Aging
Last Updated May 23, 2022

Partners CEO, June Simmons, and Sandy Atkins, Vice-President, Strategic Initiatives, have contributed a chapter to The Oxford Handbook of Social Work in Health and Aging, 2nd edition, the first social work reference book to combine the fields of health...

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Yale School of Medicine receives grant funding to implement HomeMeds
Last Updated January 11, 2021

Yale School of Medicine has received grant funding to implement HomeMeds, an evidence-based, in-home, medication review and intervention program developed and licensed by Partners in Care Foundation. The implementation of HomeMeds is part of a three year re...

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Tejas Behavioral Health and Cigna/Health Spring to offer HomeMeds medication reconciliation
Last Updated January 11, 2021

HomeMeds, an evidence-based, in-home, medication review and intervention program developed and licensed by Partners in Care Foundation is being offered by Texas-based Tejas Behavioral Health in collaboration with Cigna/Health Spring to members with acute ps...

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