When healthcare delivery is based on waiting for patients to physically come to healthcare facilities for services, it falls short. Frequently, patients face barriers that make it difficult to regularly access their clinical or wellness-related appointments. For patients with chronic conditions such as hypertension, high cholesterol, and diabetes, consistent self-management and care team engagement greatly benefit health. A key component to innovative and personalized healthcare delivery is determining how to get our services to our patients.
Harris Health’s Community Health Worker Home Visit Program embodies Harris Health System's health hub philosophy and takes it on the go. This program brings tailored diabetes education directly to the homes of patients who have uncontrolled diabetes and are disengaged from care. Patients are educated on how to effectively navigate Harris Health to increase their connection to their diabetes care team.
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The Healthy Heart, Healthy You Program is a care coordination home blood pressure monitoring program supported by licensed vocational nurse patient care coordinators and an operations coordinator in conjunction with the patient’s primary care provider.
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