Category Archives: Care Coordination

Empowering Our Aging Communities Through A Whole Person Approach: Tri-County Health Network’s Aging and Disabilities, and Palliative Care Resources

Empowering Our Aging Communities Through A Whole Person Approach: Tri-County Health Network’s Aging and Disabilities, and Palliative Care Resources

At Tri-County Health Network, we understand that health encompasses more than just medical care – it’s about addressing all the factors that impact a person’s well-being. With this philosophy in mind, we take a whole-person approach to addressing social determinants of health, aging and disability, palliative care and support for caregivers, behavioral health, physical well-being, and clinical care.

From Telluride to Nucla and Naturita, Norwood to Ridgway and Ouray, through our programs and services, we aim to empower individuals living in San Miguel, Ouray, and the West End of Montrose Counties to lead healthier, more fulfilling lives. 

In This Article

(Click the links below to jump to each section)
Care Coordination
Aging & Disabilities Resources
Palliative Support Services
Volunteering

Client Success Stories

Care Coordination: Navigating the Path to Wellness 

Our Care Coordination team is dedicated to supporting community members in navigating the often complex healthcare system. By taking the time to understand each individual’s unique needs, challenges, and goals, our care coordinators develop personalized care plans that address social, emotional, and medical needs. Whether it’s connecting individuals with transportation, housing assistance, or healthcare providers, our team ensures that no one falls through the cracks.

Read Marsha’s Care Coordination Story!

Marsha, a resilient member of our community, faced adversity with determination and grace. Initially, Marsha encountered challenges with caregiver services, leading to disruptions in her care. Despite setbacks, she persevered, seeking support from Tri-County Health Network’s Care Coordination program. Marsha’s journey took a positive turn as she returned home after a hospitalization, determined to regain independence. Reflecting on her experience, Marsha shares,

“Tri-County Health Network provided the guidance and assistance I needed during a difficult time. Their support empowered me to navigate the complexities of finding reliable care. Now, with the help of Homemaker and Personal Care supports, I can focus on living life to the fullest in the comfort of my own home.”

Her resilience and the assistance she received from our program exemplify the impact of community support in overcoming obstacles. 

Learn more about Tri-County Health Network’s Care Coordination Services!


Aging & Disabilities: Promoting Independence and Dignity 

As our population ages and individuals face disabilities, our Aging & Disabilities program steps in to provide crucial support. From in-home assessments to benefits counseling and long-term planning, we empower older adults, individuals with disabilities, and their caregivers to navigate healthcare and community resources with confidence. By promoting independence and dignity, we help individuals live life on their own terms.  

Read Kathy’s Personal Emergency Response System ADRC Story!

Kathy’s story showcases the importance of proactive support in maintaining independence and safety. Despite years of wearing her Personal Emergency Response System (PERS) without incident, Kathy faced a challenging moment in 2023 when she fell in her bathroom and found herself unable to get up. Thanks to her PERS which she received through Aging and Disabilities (ADRC) supports, Kathy was able to swiftly summon emergency assistance, highlighting the critical role of technology in ensuring her well-being. Reflecting on her experience, Kathy shares,

“My PERS device from ADRC has truly been a lifesaver. It’s not something you think about needing until you do, and I’m grateful it was there when I had my accident. With the assistance of Tri-County Health Network’s care coordination, I’m exploring additional in-home supports to help me maintain my independence and safety. Their guidance has been invaluable in navigating the challenges of finding suitable care options in my area.”

Kathy’s determination to stay independent, coupled with the support of our program, underscores the importance of comprehensive care solutions tailored to individual needs. 

Here is an overview of Tri-County Health Network’s Aging and Disabilities Services


Palliative Support: Providing Comfort and Compassion 

In times of illness or end-of-life care, our Palliative Support program offers compassionate care and support to individuals and their families. Whether it’s managing symptoms, providing respite for caregivers, or offering companionship, our team is there to ensure that individuals receive the comfort and dignity they deserve. Through our palliative care services, we strive to enhance quality of life and provide support throughout life’s journey. 

Our team can assess and connect community members to volunteer help and resources as well as loan out durable medical equipment to help you remain as independent as possible. If you or someone you know needs assistance with groceries, errands, home care, companionship, or a break from caregiver duties contact our team. Learn more about our Palliative Support program here!

Read Frank and His Son-In-Law Joe’s Palliative Caregiver Story!

Frank’s story demonstrates the power of family dedication and the importance of personalized care solutions. With the assistance of Tri-County Health Network’s Care Coordination program, Frank has been able to access vital supports to maintain his independence at home. Through the Consumer Driven Program (CDP) program, Frank’s son-in-law, Joe, serves as his paid provider, offering essential homemaker support through GT Independence. Reflecting on his role in Frank’s care journey, Joe shares,

“Being able to care for Frank through the CDP program has been a meaningful experience for our family. Tri-County Health Network’s guidance and support have been invaluable in navigating the complexities of accessing care. We’re grateful for the opportunity to provide Frank with the assistance he needs while allowing him to remain in the comfort of his own home. It’s truly fulfilling to know that we can make a difference in his life.”

Frank and Joe’s story exemplifies the strength of family bonds and collaborative care efforts in promoting dignity and well-being in aging adults. 

Learn more about Tri-County Health Network’s Palliative Support Program!


Volunteers Play A Vital Role In Our Community 

Volunteers contribute their time and talents across our programs, from assisting with transportation and meal delivery to providing companionship and respite care for individuals receiving palliative support. Their compassionate presence and willingness to lend a helping hand make a meaningful difference in the lives of our clients, offering comfort, companionship, and support during challenging times. 

We recognize the immense value of our volunteers and are deeply grateful for their contributions. Their selflessness and commitment to serving others embody the spirit of community and exemplify the power of collective action. As we celebrate the impact of our programs and services, we also extend our heartfelt appreciation to our dedicated volunteers for their unwavering support and dedication.  

Join Us in Making a Difference 

If you’re passionate about supporting your aging community and making a positive impact, we invite you to join our team of volunteers. Whether you have a few hours to spare each week or can offer occasional assistance, your contribution can help enhance the quality of life for individuals and families in our community. By volunteering with Tri-County Health Network, you’ll have the opportunity to connect with others, make a meaningful difference, and enrich your own life in the process. 

Together, we can build stronger, more resilient communities where everyone has the support and resources they need to thrive. Join us in making a difference and creating a brighter future for individuals and families in the Tri-County region. Your compassion, kindness, and generosity can make all the difference in the lives of those we serve. If you would like to become a volunteer, please contact Randi Latham (970) 239-1806 r.latham@tchnetwork.org 


More Client Success Stories

Sandra’s Experience with Behavioral Health

Sandra’s journey is a testament to the power of community support. Facing challenges with accessing essential services due to mental health barriers, Sandra reached out to Tri-County Health Network’s Care Coordination program for assistance. Despite initially denying Aging and Disabilities Resources (ARDC) services, Sandra recognized the importance of maintaining her therapy sessions and sought help in applying for the San Miguel Behavioral Health Fund. In Sandra’s own words,

“Navigating the complexities of healthcare can be overwhelming, especially when facing mental health challenges. Tri-County Health Network’s care coordination team has been a lifeline for me. With their assistance, I can continue receiving the therapy I need to thrive, and their support in applying for public assistance ensures I can access vital resources for my well-being.”

Sandra’s determination, coupled with the support of our program, highlights the transformative impact of collaborative care in overcoming barriers to health and stability. 

Jack’s Experience with Consumer Direct Personal Assistance

Jack’s experience demonstrates resilience in the face of challenges and the importance of adaptive solutions. Despite encountering barriers in finding homemaker support, Jack remains determined to maintain his independence and quality of life. Through Tri-County Health Network’s Care Coordination program, Jack explored alternative options and learned about the Consumer Directed Personal Assistance (CDP) program, empowering him to consider natural supports within his network. Reflecting on his experience, Jack shares,

“Finding the right support can be challenging, but Tri-County Health Network has been there to guide me every step of the way. Their assistance in exploring different options, like the CDP program, has been invaluable. With their support, I’m confident I can continue living comfortably and independently, even after my hip surgery.”

Jack’s proactive approach and the collaborative effort of our program emphasize the importance of personalized care solutions tailored to individual needs. 

Colleen’s Experience with Long Term Care Medicaid

Colleen’s story is a testament to the transformative impact of community support. Despite initially declining services, Colleen recognized the importance of accessing resources to fulfill her goal of relocating. With the assistance of Tri-County Health Network’s Care Coordination program, Colleen navigated the complexities of Long-Term Care (LTC) Medicaid Case Management Agency (CMA) referral. Reflecting on her journey, Colleen shares,

“Tri-County Health Network played a crucial role in helping me achieve my goal of relocating. Their support in navigating the Medicaid system was invaluable, and I’m grateful for their assistance in accessing the services I needed to make the move. Now, thanks to their help, I’m settled in Montrose and looking forward to this new chapter in my life.”

Colleen’s determination, coupled with the guidance of our program, exemplifies the positive outcomes that can be achieved through collaborative efforts and community support. 

Roger’s Experience with Long Term Care Medicaid & Moms Meals

Roger’s experience showcases the transformative impact of accessing the right support at the right time. When Roger sought assistance from Tri-County Health Network’s Care Coordination program, he had specific needs in mind – home-delivered meals and support from Moms Meals with his Long Term Care (LTC) Medicaid referral. With the program’s guidance, Roger was able to secure both, ensuring he received the necessary care to maintain his well-being. Reflecting on his experience, Roger shares,

“Tri-County Health Network has been a lifeline for me during a challenging time. Their assistance in obtaining home-delivered meals and navigating the LTC Medicaid referral process has made a world of difference. I’m grateful for the support I’ve received, and I’m satisfied with the services I now have access to. It’s reassuring to know that I can count on their help when I need it most.”

Roger’s story highlights the importance of tailored support and the positive outcomes that result from collaborative efforts in accessing essential care resources. 

Betty and Her Daughter Maureen’s Experience with the Consumer Driven Program

Betty’s journey is an example of the strength of familial support and the impact of personalized care solutions. With the assistance of Tri-County Health Network’s Care Coordination program, Betty has been able to access essential supports to maintain her independence at home. Through the Consumer Driven Program (CDP) program, Betty’s daughter, Maureen, serves as her paid provider, offering crucial homemaker support through GT Independence. Reflecting on her role in her mother’s care journey, Maureen shares,

“Being able to care for my mother through the CDP program has been a blessing for our family. Tri-County Health Network’s support in navigating the complexities of accessing care has eased our worries and allowed us to focus on ensuring my mother’s well-being. Knowing that we can provide the assistance she needs while keeping her at home where she’s most comfortable brings us immense joy and gratitude.”

Betty and Maureen’s story exemplifies the profound impact of familial bonds and collaborative care efforts in promoting independence and quality of life. 

Kenny’s Experience with Care Coordination

Kenny’s journey highlights the power of self-determination in accessing the support needed for independence. Despite declining additional services beyond transportation assistance initially, Kenny’s proactive approach led him to explore and access supports independently. Tri-County Health Network’s Care Coordination program provided Kenny with the initial assistance he needed, allowing him to make informed decisions about his care journey. Kenny reflects,

“Tri-County Health Network’s transportation assistance was a lifeline for me, enabling me to maintain my mobility and freedom. While I initially declined other services, the support I received helped me gain the confidence to navigate my care independently. Their guidance was instrumental in empowering me to take charge of my health and well-being.”

Kenny’s story underscores the importance of personalized support that respects individual choices and fosters self-sufficiency in accessing essential services. 

Lisa’s Experience with Moms Meals Through Pathways

Lisa’s story highlights the positive impact of accessible resources. When Lisa sought assistance through Tri-County Health Network’s Care Coordination program, her immediate need was access to nutritious meals. With the program’s guidance and a referral to Moms Meals through Pathways via Uncompahgre Medical Center, Lisa’s request was swiftly fulfilled, providing her with the nourishment she needed. Expressing her satisfaction with the services received, Lisa shares,

“Tri-County Health Network has been a tremendous help in ensuring I have access to nutritious meals through Moms Meals. Their support has made a real difference in my life. Now, with their assistance in obtaining a life alert, I feel even more confident in my ability to stay safe and independent. I’m grateful for their help every step of the way.”

Lisa’s story exemplifies the positive outcomes that result from timely and personalized assistance, underscoring the importance of accessible resources in promoting well-being and independence. 

If you would like to learn more about aging and disabilities support, palliative care, the in-home assessment process, Durable Medical Equipment (DME) loaning, or any of the resources mentioned above, please visit tchnetwork.org/programs/care-coordination call Randi Latham at (970) 239-1806 or email r.latham@tchnetwork.org, or call our main office at (970) 708-7096

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