"Take Me Home" Program for Transition from Hospital to Home

Initiative Description

We have worked with the state's Take Me Home program. This program is designed to increase the number of smooth transitions from hospital/nursing home to own home and keep elderly individuals in their own home as long as possible. 

Lessons Learned/Replication

We established a relationship with DHHR and Medicaid services within the state for this. The partnership was successful because it offered another option for AT as those needs are identified during assessments prior to the transition.

Year of Implementation



West Virginia

Initiative contact information

Lesley Cottrell