activities · 20
what they do
direct service · 20
- Cardiac Home Health CareProvides specialized home health care for individuals with cardiac diagnoses, including prompt in-home assessments, individualized care plans, and education about cardiac conditions to improve quality of life and reduce avoidable hospitalizations.
- Cardiac Home Health ProgramDelivers specialized home health care for individuals with cardiac diagnoses, including in-home assessments, individualized care plans, and education on cardiac conditions to improve quality of life and reduce hospitalizations.
- Cardiac Home Health ServicesProvides specialized home health care for individuals with cardiac diagnoses, including comprehensive in-home assessments, individualized care plans, and education about cardiac conditions to improve quality of life and reduce avoidable hospitalizations.
- Care Planning and Resource Navigation Senior Transition Support ServicesOffers free care planning services to individuals and families, including assistance with healthcare needs assessment, community resources, long-term care planning, and decision-making.
- Community Care Planning and Support Senior Transition Support ServicesOffers free care planning services, health care needs assessments, long-term care planning, and coordination of community resources through professional or self-referral programs, with 24/7 availability for care coordination and support.
- Community Health Education and Immunization Seasonal and Pandemic Vaccine AdministrationOffers community-based immunization clinics for flu, pneumonia, COVID-19, and other vaccine-preventable diseases, including on-site services for schools and businesses, as well as employee wellness programs and school-based health education across the Central Coast.
- Community Immunization and Preventive Health Programs Seasonal and Pandemic Vaccine AdministrationProvides flu, pneumonia, COVID-19 vaccines and other immunizations through appointments, on-site clinics for schools and businesses, and community clinics across the Central Coast, including employee wellness programs and health education.
- Community Immunization and Wellness Programs Seasonal and Pandemic Vaccine AdministrationProvides flu, pneumonia, COVID-19, and other vaccine-preventable disease immunizations by appointment, and offers on-site flu clinics for organizations, employee wellness programs, and school-based health education across the Central Coast.
- Culturally Tailored End-of-Life OutreachOperates a mobile resource center to provide information about end-of-life care to Latino families in South Monterey County.
- End-of-Life Care Outreach for Latino CommunitiesOperates a mobile resource center to provide culturally appropriate information about end-of-life care to Latino families in South Monterey County.
- Free Care Planning and Support Senior Transition Support ServicesOffers free, personalized care planning services to individuals and families, including health care needs assessment, long-term care planning, and connection to community resources through professional or self-referral.
- Home Health Care Services Hospice Care ServicesProvides comprehensive in-home medical care, including skilled nursing, physical, occupational, and speech therapy, and medical social work, to residents in Monterey, San Benito, Santa Cruz, and South Santa Clara counties. Services include wound care, medication management, IV therapy, and assistance with daily living activities.
- Home Health Care Services Hospice Care ServicesDelivers skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work, and home health aide services in the home setting across Monterey, San Benito, Santa Cruz, and South Santa Clara counties, including wound care, medication management, mobility improvement, home safety support, and assistance with daily living activities.
- Home Health Services Hospice Care ServicesProvides skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work, and home health aide services in patients’ homes to support recovery, independence, and safety across Monterey, San Benito, Santa Cruz, and South Santa Clara counties.
- Hospice Care Services Hospice Care ServicesProvides expert medical, emotional, and spiritual support for patients with life-limiting illnesses and their families, including pain management and bereavement support after a patient's death.
- Hospice Care Services Hospice Care ServicesDelivers medical, emotional, and spiritual support for patients with life-limiting illnesses and their families, including pain management, symptom control, and bereavement support such as counseling and celebration of life gatherings.
- Hospice and Palliative Care Hospice Care ServicesDelivers medical, emotional, and spiritual support for patients with serious or life-limiting illnesses, including pain and symptom management, personalized care aligned with patient preferences, and bereavement support for families after death.
- Mobile Resource Center for End-of-Life CareOperates a mobile resource center to provide information about end-of-life care specifically to Latino families in South Monterey County.
- Palliative Care Services Hospice Care ServicesOffers specialized medical care to improve the quality of life for patients and families affected by chronic or life-limiting illnesses by managing physical and psychosocial symptoms.
- Palliative and Symptom Management Care Hospice Care ServicesProvides palliative care focused on improving quality of life for patients and families affected by chronic or life-limiting illnesses, including management of physical and psychosocial symptoms.
strategies · 19
how they think
Theories of action extracted from this org's own source material. Click any to see the full field of orgs running the same approach.
- Community-Based Prevention and Outreach community-based preventionDelivers preventive health services, such as on-site flu clinics, directly within communities and organizations to increase access and reduce barriers.
- Community-Based Prevention and Self-Referral community_based_preventionThe organization provides influenza prevention services through on-site flu clinics for organizations and utilizes a professional or self-referral model to connect individuals at any health stage with care planning and community resources. This approach aims to make care accessible and proactive within the community.
- Early-Integrated Palliative Care Model early-integrated palliative careProvides palliative care early in the disease trajectory alongside curative or life-prolonging treatments to improve quality of life through holistic symptom and stress management.
- Early-integrated palliative and holistic care early-integrated palliative carePalliative care is delivered early in the disease trajectory alongside curative or disease-modifying treatments, with a focus on holistic support—including physical, emotional, and spiritual well-being—to improve quality of life and align care with patient goals.
- Flexible care access and community-based delivery community-based preventionOffers self-referral and professional referral pathways to care planning and community resources at any health stage, and delivers preventive services like flu vaccinations directly in community or organizational settings.
- Goal-oriented, non-custodial home health services goal_oriented_home_careProvides physician-directed, intermittent skilled home care focused on rehabilitation, chronic illness management, and measurable health outcomes rather than long-term custodial support.
- Holistic Symptom and Stress Relief holistic_home_healthThe organization focuses on symptom and stress relief, particularly for cardiac patients, through education and holistic support that addresses both physical and emotional needs to improve quality of life. This includes providing spiritual and emotional support through dedicated counselors and delivering palliative care early in the disease trajectory alongside active treatments.
- Interdisciplinary Team-Based Care interdisciplinary_team_careDelivers coordinated care through a multidisciplinary team—including physicians, specialists, and VNA staff—that addresses medical, emotional, and spiritual needs, ensuring treatment is aligned with patient goals and clinical best practices.
- Interdisciplinary and Coordinated Care interdisciplinary_care_coordinationThe organization coordinates care among a multidisciplinary team, including physicians and VNA staff, to manage treatment, and provides palliative care through an interdisciplinary clinical team. This approach ensures comprehensive support across medical, emotional, and spiritual needs, adapting to individual patient values and wishes.
- Interdisciplinary team-based care model interdisciplinary_team_careThe organization uses a coordinated, interdisciplinary team—including physicians, specialists, VNA staff, and volunteers—to deliver integrated medical, emotional, and spiritual support tailored to individual patient needs and goals across home health and palliative care settings.
- Patient-Centered Care Planning and CommunicationIntegrates advance care planning, education, and shared decision-making into care delivery to honor patient values, goals, and preferences across the care journey.
- Patient-Centered and Goal-Oriented Care patient_centered_careThe organization delivers care that is deeply human, meets patients where they are, and supports them throughout their care journey, emphasizing individual needs, goals, and dignity. This includes integrating advance care planning to align services with patient goals and providing structured, goal-oriented home health services.
- Patient-centered care planning and communication patient_centered_communicationCare is guided by patient goals, values, and preferences through advance care planning, shared decision-making, education on treatment options, and clear communication with patients and families across the care journey.
- Physician-Directed Home Health with Volunteer Integration interdisciplinary_home_healthThe organization provides physician-directed, intermittent skilled medical care in the home, focused on rehabilitation and chronic illness management. This care model also incorporates volunteers as a key component to support patients and enhance their quality of life.
- Self-Referral and Accessible Care Coordination self-referral care coordinationEnables individuals to access care planning and community resources through professional or self-referral pathways, regardless of health stage.
- Spiritual and Emotional Support Integration spiritual_counseling_integrationEmbeds spiritual counseling and emotional support as core components of palliative and home health services to address holistic patient well-being.
- Team-Driven, Adaptive Care Delivery team-driven careUses a flexible, compassionate care model that evolves with individual patient needs, values, and wishes, supported by coordinated interdisciplinary teams.
- Volunteer-Integrated Care Model volunteer_integrationEngages trained volunteers as essential members of the care team to provide companionship, support, and quality-of-life enhancements for patients.
- Volunteer-integrated care delivery volunteer_integrationTrained volunteers are embedded as a core component of the care team to provide companionship, support, and quality-of-life enhancements for patients and families.
named programs · 12
what they call their work
Cardiac Care Program
Home health program for patients with cardiac diagnoses, offering specialized nursing, education on disease management, medication and diet support, and coordination with cardiologists to reduce hospitalizations.
Community Services
Community-based programs including flu and COVID-19 vaccination clinics, school health services, and employee wellness programs delivered across the Central Coast.
Connections Program
Offers assistance with health care needs assessment, community resources, long-term care planning, and decision-making for patients at any stage of health.
Diabetes Management Program
Specialty home health program focused on education, monitoring, and management of diabetes to improve patient outcomes and reduce complications.
Home Health
Physician-directed, skilled medical care provided in the home on an intermittent basis, focusing on rehabilitation, stabilization of chronic illness, and restoration of independence. Includes nursing, physical, occupational, and speech therapy, medical social work, and home health aides.
Home Health Care
Physician-directed, skilled medical care provided in the home for recovery, chronic illness management, wound care, IV therapy, and therapy services. Includes nursing, therapy, social work, and home health aide support.
Hospice Care
Specialized care for individuals with life-limiting illnesses, focusing on comfort, pain and symptom management, and emotional and spiritual support. Includes interdisciplinary team care and volunteer support.
Latino Mobile Resource Center
A mobile van providing information about end-of-life care to Latino families in South Monterey County.
Orthopedic Recovery Program
Home health program supporting recovery after orthopedic surgery or injury, including physical therapy, mobility training, and home safety assessments.
Palliative Care Program
Specialized medical care for people with serious illnesses, focusing on symptom relief and quality of life. Provided alongside curative treatments and includes advance care planning and emotional support.
Palliative Support Program
Specialized medical care for people living with a serious illness, focusing on relief from symptoms and stress to improve quality of life for both the patient and family. Available in conjunction with curative treatments.
VNA Connections Program
Free care planning program offering health care needs assessment, community resource referrals, long-term care planning, and decision-making support for individuals at any health stage.
relationships · 11
who they work with
- Blue Shield Funder — Insurance plan that covers home health services provided by VNA
- Central California Alliance for Health Government — Insurance provider that covers home health services offered by VNA
- Medi-Cal Government — Accepted as a form of insurance for palliative care services.
- Medi-Cal Government — Accepted as a payer for services
- Medicare Government — Accepted as a form of insurance for palliative care services.
- Medicare Government — Accepted as a payer for services
- Monterey County Government — Provides COVID-19 vaccines and boosters to Monterey County residents
- VNA Volunteers Partner — Volunteers who support hospice and community services by giving time to improve patient and family well-being.
- getpalliativecare.org Partner — Directs patients to external assessment tool for palliative care eligibility.
- local cardiologist Partner — Collaborates with local cardiologists to develop clinical protocols for cardiac care assessments and treatment plans.
- sebastianhospicecare.com Partner — Collaborates on patient eligibility guidance for palliative care.