We offer one time geriatric medical assessments in your home for you or your loved one that can range from a brief medical assessment to longer comprehensive evaluations of your overall health. The assessments can cover issues you or your doctor may be concerned about such as physical function, cognition, mental health, and medications. Comprehensive assessments are longer but provide a more in-depth, multidisciplinary view of your health and social circumstances.
Hospital Stay Follow-Ups (Transitional Care Management)
For those with complex medical conditions who are being discharged home from the hospital, our care team will provide in-home visits and follow up contact to improve care coordination during the 30-day period following your discharge. Our goal is to help keep you comfortable and at home as you recover and prevent any need for you to return to the hospital. Examples of the services we offer include:
Connecting with you and/or your caregiver
Communicating with your own providers and any community services you receive related to your health and well being
A face-to-face visit within a specific timeframe
Education for you and/or your caregiver about your care plan
Assessment and support to help you get the most from your treatment plan
Review of your discharge information and management of your medications
Establishing or re-establishing referrals for follow-up care or community resources
Mental Health Counseling
We recognize that living with complex medical conditions can be stressful for patients, families and caregivers. We offer in-home counseling services for you and/or your family or family caregiver as you navigate the path of serious illness.
Various Medical Procedures
From time to time, minor medical procedures may be needed to maintain your health. If you are home-bound by your complex illness, we can come to your home to offer various medical services such as foot care, wound care, etc.
What Is Snowline ElderCare?
Snowline ElderCare provides medical and psych-social healthcare services to people with chronic illness who have difficulty leaving their homes or places of residence. A team of medical professionals helps with in-home symptom management, connection to resources, and emotional and spiritual support. Services are currently being offered to those living in El Dorado, Placer, and Sacramento counties with a Medicare Part B health insurance plan or self-pay. As the program grows, Snowline will be adding more insurance options, as well as primary care provider services.
The ElderCare Interdisciplinary Team (IDT), in conjunction with the patient, family, and personal physician, all contribute to a patient and family-centered plan of care. The intent of the plan of care is to honor the patient’s wishes and to provide the patient with the highest quality of life possible, comfort being the priority. The team walks alongside the patient and family on this journey providing guidance, support, education, and care.
Who Qualifies?
People living with a chronic medical condition (such as cardiac disease, end-stage renal disease, dementia, medical oncology condition or other chronic disease conditions) who desire in-home provider services and social services.
Snowline ElderCare is currently accepting patients with Medicare Part B insurance coverage (more insurance options to come).
What is provided?
Consultative services: Providers (physicians, NPs, APs, etc.) provide specialty elder care health services when given an order from the patient’s primary care physician.
Case Management Services: Social workers (BSWs, MSWs, LCSWs and community health workers) provide educational health and community resources, assist with advanced directive planning, health advocacy, home safety assessment planning, and mental health counseling.
Palliative Care Services: Medical Health Care Team (Nurse Practitioners, Nurses, Social Workers, Spiritual Care Providers, and Community Health Workers) provide medical and emotional support to those living with serious advanced illness during the last 1-2 years of life.
Telehealth Services: All of the above listed services can and may be provided via phone and/or video conferencing.
Where are services provided?
In El Dorado, Placer, and Sacramento Counties as well as telehealth monitoring services in all areas in California. Services are provided wherever patients reside (Includes homes, assisted living facilities, and senior living communities.)
How does one receive services?
Call Snowline Health directly at 530-621-7820 and our team will work with a patient’s primary care physician for a referral for services.
How To Refer
Referrals – Community
Anyone can refer a patient to Snowline. If you know a person who is seriously ill and needs support, or you know someone who you think may be ready for ElderCare, call Snowline at:
Snowline will arrange an initial evaluation. If Snowline determines that the patient is hospice eligible, Snowline will assist in obtaining a physician’s orders to begin comfort care.
Referrals – Medical Professionals
If your patient is seriously ill and needs Snowline ElderCare in-home services, please call 530-621-7820 or 916-817-2338.
To refer a patient for Snowline ElderCare services, please complete the Request for ElderCare Orders and fax the completed form with supporting documentation to the Referral Office at Snowline:
We will contact the patient or the patient’s family as soon as we receive your referral. For more information, please contact Snowline: 530-621-7820 or 916-817-2338
