The Community Resource Tool

FOR NY: Click here: https://qi.ipro.org/the-community-resource-tool-ny/

FOR NJ: Click here: https://qi.ipro.org/the-community-resource-tool-nj/

FOR OH Click here: https://qi.ipro.org/the-community-resource-tool-oh/

The IPRO-QIO Community Resource Tool was developed to facilitate discharge planning and improve care transitions.
The services and supports listed below supplement existing resources and are periodically updated with user notifications.

  1. Office of the Aging Offices (OFA): Organizations providing seniors with information, support, and services, including home-delivered meals, senior center programming, health promotion, care coordination, and more.
  2. Community Action Agencies (CAA): Local agencies empowering individuals at risk or in poverty through services like food and nutrition assistance, job and career support, housing, and family assistance.
  3. Independent Living Centers (ILCs): Community-based organizations offering support to individuals with disabilities, including advocacy, independent living skills, and access to services.
  4. Salvation Army: Provides various services to those in need, such as homeless shelters, food pantries, emergency assistance, and rehabilitation programs.
  5. Catholic Charities: Offers services based on community needs, including emergency assistance, housing, counseling, and immigration support.
  6. Department of Social Services (DSS): Provides financial assistance, food stamps, healthcare programs, child welfare services, employment support, housing assistance, and homeless prevention services.
  7. Emergency Shelters: Facilities offering refuge and necessities to individuals and families affected by emergencies or disasters.
  8. Federally Qualified Health Clinics (FQHC): Community-based healthcare organizations providing primary care, medical, behavioral health, and dental services to underserved populations on a sliding fee scale.
  9. Food Pantry: Community-based organizations providing free food to individuals and families in need to address food insecurity.
  10. Nursing Home (NH) / Skilled Nursing Facilities (SNFs): Residential care facilities offering 24/7 medical and personal care to individuals with chronic medical conditions or in recovery.
  11. Certified Home Health Agency (CHHA): Healthcare provider offering skilled nursing services and support for activities of daily living in the home setting.
  12. Inpatient Rehab Facility (IRF): Healthcare facility providing intensive treatment and care for medical conditions, injuries, or substance abuse problems with 24/7 patient stays.
  13. Substance Abuse Disorder Treatment (SUD): Interventions, therapies, and support services for individuals struggling with substance abuse or addiction. There are two other sub-categories as well, SUD-DETOX-OUD, or Substance Abuse Disorder treatment services, including detox and Opioid Use Disorder, and SUD-OUD, Substance Abuse Disorder treatment including Opioid Use Disorder.
  14. Long-Term Acute Care Hospital (LTACH): Specialized healthcare facility providing extended medical care for patients with complex conditions.
  15. Mental Health (MH): Wide range of resources and interventions for addressing mental health and emotional well-being, including therapy, counseling, and residential treatment.
  16. Assisted Living: Residential care facility providing support and assistance to seniors or individuals with disabilities for daily activities.
  17. Transportation: Programs offering accessible and affordable transportation options for individuals with mobility or financial challenges.
  18. Dialysis Facilities Centers (DFC): Medical centers providing dialysis treatment for patients with kidney failure or end-stage renal disease (ESRD)

    If you have any questions or suggestions regarding this resource tool, contact:

    Fred Ratto Jr.
    Senior Quality Improvement Specialist
    IPRO
    20 Corporate Blvd. Albany NY
    T:  Direct: 518-320-3506 | F: 518-426-3418
    fratto2@ipro.org