Direction Home Ohio


A statewide network of Area Agencies on Aging with expertise in providing community-based health, wellness and disease prevention services to support independent living for older adults and people with disabilities.


Direction Home’s network of 12 Ohio Area Agencies on Aging are experts in addressing social determinants of health in older adult populations. We have been promoting independent living for older adults and people with disabilities for the past fifty years.

We are a statewide network that works with a number of different types of payors to deliver services to members in every single county in Ohio.

We manage over 4100 contracts with local community-based organizations to deliver direct services, such as meals, transportation, personal care, and home modifications in all regions of the state.

We can facilitate the delivery of targeted home and community-based services to address the needs of high-risk older adults – with a focus on diverting members from institutional long-term care facilities, reducing utilization of acute inpatient services, and stabilizing at-risk members in the community, with additional home and community-based services.

We provide a single source of referral for members that require a range of home and community-based services, person-centered planning, and local care coordination and evaluation of supplemental benefits.

A multitude of just-in-time home and community-based services at your fingertips.

We are a network of mission-driven organizations that operate a complex service delivery system providing statewide access to community-based, in-home services to more than 300,000 older Ohioans and people with disabilities.  Simply put, we’ve helped countless people return to the comforts of home and stay there. We’ve achieved those results through a range of services that address needs from all angles. We can achieve these results for you and your members.

Assessments

Upfront and follow-up sessions to understand a participant’s risk level, social determinants of health, and program eligibility.

Person Centered Planning

Determination of the recommended benefits based on the clinical need and/or social determinants impacting clinical outcomes and connecting members and caregivers to services.

Hospital to Home Care

Patient-focused interventions that assist in the shift between care settings to ensure a seamless system of support for participants and caregivers.

Care Coordination

Coordination of support services that prevent or postpone institutionalization and avoid unnecessary hospitalizations. Create plans that enable your members to exit nursing home care, even after prolonged institutionalization.

Caregiver Supports

Tools and education that maintain the stability of the member’s support system including caregiver support and respite care service.

Home Delivered Meals and Nutritional Supports

Targeted in-person home-delivered meals in order to address the risk of food insecurity and reducing the risk of readmissions related to reduced nutritional intake.

Transportation

Coordinate non-emergency medical transportation to health appointments and non-medical transportation to combat social isolation.

Homemaker and Personal Care

Maintaining a clean, safe and healthy living environment with assistance for general household activities and personal care services in the home.

Home Modifications

Home and bathroom safety device and accessibility improvements installation.

Health and Wellness Programs

Education and outreach to promote healthy living practices for better aging outcomes and the management of chronic illness such as diabetes.

Provider Network Management

Centralized IT system and billing, and contract management and payment that ensures quality and streamlines efficiency.

STAY AT HOME

Members can remain at home longer and delay or avoid expensive nursing home stays.

AVOIDING READMISSIONS

Avoid unnecessary and hospital admission and readmission and emergency room visits.

MEMBER SATISFACTION

Provides ability to target benefits to meet members’ needs.