SHH Engage is added support for Skilled Home Health patients who are at a high risk for returning to the hospital.
Our team checks in between visits with personalized automated phone calls and follow-up calls from our care team to make sure you’re feeling well, staying safe and getting the support you need at home.

You’ll receive calls in between your in-person visits.
Most calls will be just a couple of automated questions you can answer with either voice or keypad.
Periodically, or if a health change is noted, you’ll receive a call from one of our team members to get more information and take action if needed.
Our actions will depend on the severity and type of health change.
We might send a nurse out to check on you in person or make a call to your doctor to adjust medication.
If a serious health concern is discovered, more drastic action would be advised.
Helen was admitted to home health for heart failure after she had been hospitalized twice in the past six months. She needed home health support because she was struggling to keep her legs from swelling and was often very short of breath. Helen really wanted to finish a quilt she was making for her grandchild and was worried she’d never have the energy to get it done.
Nurses helped Helen understand her medications, how much she should be taking and why each medication was prescribed. Helen also learned what to do when her symptoms started getting out of control and how her diet, especially her salt intake, was impacting her swelling.
Because she was considered at high risk for returning to the hospital, she was enrolled in the Skilled Home Health Engage program.
Answering the questions on the automated calls was easy, and she knew she always had someone to call if she had a concern.
After she had been doing well for about six weeks, she had a day where she just felt “off.”
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reached out after Helen indicated on an automated call that her swelling was worse than usual.
A home health nurse was sent to do an in-person assessment.
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found Helen short of breath and with worsening foot and ankle swelling.
Helen admitted that she had “splurged” on a high salt meal a couple of days before and was considering going to the ER.
The home health nurse consulted with her physician to adjust her medication, fluid intake was restricted and symptoms were controlled, avoiding an ER visit.
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She was later discharged from home health after two episodes, better understanding how to manage symptoms and knowing she can call Elara Caring if her condition changes.
And… she finished that quilt in time for Christmas!
