CHRONIC ILLNESS INTERVENTIONS

78% of healthcare expenditures are for treatment of chronic diseases

3x more

Black adults are 3 times more likely to die from Asthma

30%

 Black Adults are 30% more likely to die from Heart Disease

1 in 3

Black adults has Diabetes

Chronic Illness Interventions

We help those most severely burdened by chronic diseases, including parents, kids, grandparents, and single adults, to dramatically improve their health and ultimately save them from a lifetime of high-cost hospitalizations and emergency room visits. We help improve their living conditions, medical care, and wellness activities, reducing the burden of chronic conditions like asthma, COPD, diabetes, and hypertension, and high-risk pregnancies, which disproportionately affect Black and Latinx communities.

We Reduce and Prevent

  • Asthma

  • COPD

  • Diabetes & Hypertension

  • ER Visits & Hospitalizations

  • Healthcare Costs

Why our model works

Our Community Health Workers know the communities and cultures we serve and are trusted sources. We aren’t just a phone call – we meet our clients in their homes in order to help the whole person and family.

    • Communicate with Doctors & Pharmacy to ensure auto-refills and appointments are up to date

    • Set up Patient Portal account and walk through refills and messaging doctor

    • Provide Medically Tailored home-delivered meals and connect to Food Pantry

    • Apply for transportation assistance through Medicaid

    • Train on proper use of medication & benefts of adherence to meds (i.e., reduced ER visits)

    • Teach to use asthma-friendly cleaning products & to reduce clutter

    • Medical Diets (DASH) and in-home cooking lessons

    • Set up reminders for medical appointments

    • Coaching on strengthening & exercise

    • Connect to senior services and other wellness programs to get people moving

    • Measured changes to diet & exercise

    • Education to deepen understanding of health condition

    • Follow up! Follow up! Follow up!

Client Success Story

How Jennifer helped Franklin

Dr. Farri Says…

“Changing your diet can significantly reduce blood pressure and even in some cases eliminate the need for diabetic medications.”

Dr. Shade Farri, MD, MPH | AIRnyc Chief Medical Officer

Learn more about our model