Community First Services and Supports (CFSS) is a Minnesota health care program that offers flexible options to meet the unique needs of people. CFSS allows people greater independence in their homes and communities. CFSS replaces personal care assistance (PCA) and the Consumer Support Grant (CSG). CFSS covers the same main services as PCA: - Activities of daily living, such as eating, bathing, grooming and transferring - Health-related tasks - Instrumental activities of daily living, such as shopping, cooking, laundry, and assistance with self-administered medications - Observation and redirection of behavior. Under CFSS, individuals will work with a Consultation Services Provider, like Arc Northland, to be able to choose between the Budget Model or Agency Model. Consultation Services Providers will provide education on their options and provide support in writing their service delivery plan.

Active Seniors: Provides adults 55+ with a variety of diverse activities such as exercise, wellness, and social/recreation designed to support independence Care Consultation: Keystone Care Consultants help seniors navigate their health, economic, and social needs. Care managers meet with individuals in their homes or at one of the community centers to conduct an assessment, gather input from caregivers, and create goals. Once the assessment is complete, services may include: setting up rides to a social program, researching housing options, making a referral to an agency that helps with grocery shopping and/or cleaning, providing caregiver support, and accompanying seniors to doctor visits. Grocery Delivery: Provides free grocery delivery for low-income seniors and adults with disabilities. Those who qualify can receive monthly deliveries. Delivery can include meat, dairy, fresh produce, and shelf-stable items. In each delivery, individuals will receive an average of 25 pounds of food per person in the household. Accommodations are based on customer choice models such as vegetarian, halal, etc. depending on what is available. Deliveries will be dropped off between 12:15 pm and 1:30 pm Tuesday - Thursday by a volunteer. In-Home Help: Social workers coordinate with Recover Health to provide seniors with in-home nursing care, in-home therapies, and home health aides to assist with daily care. ?Tax Preparation Assistance: Provides tax services in coordination with AARP to seniors. Visit the website https://keystoneservices.org/seniors/tax-preparation-assistance/ for an up-to-date schedule.

Provides a wide range of medical care and support for patients Primary Care Services: - Consulting Nurse Line - Family Medicine: Camp and sports physicals; chronic disease management and education; comprehensive physical exams; adult, child, and influenza immunizations; preventive care and education - Internal Medicine: Diabetes care and education; geriatric medicine; routine check-ups and health screenings - Obstetrical and gynecology care - Pediatrics: Newborn exams; well child visits - Telemedicine and E-visits Specialty Care: - Laboratory - Mammography and mobile mammography - Online lab ordering and results - Online radiology ordering and results - Physical Therapy - Radiology and/or MRI/CT

Companion/Night Supervision Services: Services that help an individual work toward a therapeutic or community integration goal. Night supervision is an overnight assistance and monitoring provided in the person's own home, which includes assistance with Activities of Daily Living (ADL's), reinforcing independent living skills, etc. Homemaking/Home Management Services: Provide assistance to individuals who are unable to perform day-to-day household duties and have no one available to assist them. Services include light housekeeping, laundry, limited personal care, grocery shopping, meal preparation, etc. Individual Community Living Support (ICLS): Provides assistance and support to clients who need reminders, cues, intermittent/moderate supervision, or physical assistance to remain in their own home. Services include assistance with active cognitive support, Activities of Daily Living (ADLs), household management, health, safety, and wellness, and community engagement. Personal Care Assistant (PCA): Performs care services to clients unable to live independently in the community without assistance. Services include assistance with Activities of Daily Living (ADLs), grooming/personal hygiene, light cleaning, cooking, etc. They also engage clients in activities such as reading, talking, community support, etc. Personal Support Services/Individualized Home Supports Without Training: Provided in the individual's home to achieve their full potential, to increase independence, and to meet community inclusion goals that are important and based on their need. Established to assist with Activities of Daily Living (ADLs), participation in community activities, etc. Respite Care: Short-term care services provided due to the absence or need for relief of the family member(s) or primary caregiver normally providing care. Respite can be provided in-home or out-of-home.

Individuals fill out a questionnaire. Answers are reviewed by an Essentia provider who will make a diagnosis and create a care plan. Prescriptions may be provided. Individuals are also given a phone number to call if they have questions or concerns. The process usually takes 60 minutes or less. Conditions Treated Allergy symptoms, like sneezing, runny nose, or eye irritation Bug bites, including tick bites Colds Eye infections, such as conjunctivitis (pink eye) Irritable bowel syndrome Low back pain Mouth sores, including canker sores - Skin conditions, including Acne Dermatitis Diaper rash Eczema Mild burns Shingles Tinea infections, also called ringworm Tobacco use Upper respiration infections, including sinus infections or influenza Urinary tract infections (UTIs) in women Vaginal yeast infections Stye COVID-19 screening is also provided. Visit website for a full list of conditions treated.

Provides home health services such as: - Case management for waivered services - Home health care, skilled nursing, home health aide, and homemaker services - Long-term care consultations and MNChoice Assessments - Open discussions for options in caring for older adults - Personal care attendant assessments - Physical therapy

Adult vaccinations Allergy, allergy testing, and asthma Camp and sports physical exams Cardiology Childhood vaccinations Commercial motor vehicle physical exam Comprehensive Medication Review (CMR) eVisits: Online medical clinic that provides care for common conditions Family medicine Flu vaccinations Health maintenance exams Health screenings including blood pressure, cholesterol, colonoscopy, colposcopy, depression, diabetes, 3-D mammogram, osteoporosis, prostate cancer, and sexually transmitted diseases (STD) Medical imaging including bone density, CT, MRI, PET scans, ultrasound, x-rays, and more Medication management Obstetrics and gynecology including breast health, pap smears, and pelvic exams Orthopedics Pediatrics and pediatric walk-in care Podiatry Pregnancy/prenatal care Ultrasounds Well-child exams Women's health Workers' compensation exams Mental Health Services: ADD/ADHD initial evaluation Adult psychology including mental or emotional illness, such as anxiety, depression, or schizophrenia, addiction and substance abuse, and sexual or gender identity issues Mental health and addiction services: Mental health specialty services for substance use disorders, opioid treatment program including medication-assisted treatment primarily in the form of suboxone and methadone, integrated co-occurring disorders treatment, and expressive arts and mindfulness day treatment program. Areas that can be addressed include anxiety, depression, stress management, trauma, lifestyle and behavioral changes, marital, family, and other relationship issues, grief and loss, addiction, anger management, sleep problems, emotional effects of chronic illnesses such as pain, diabetes, and asthma Child and teen psychology: Psychological care and therapy for conditions of ADHD, anxiety, depression, other mental or emotional concerns, addiction and substance abuse, sexual or gender identity issues

Provides professional services, support, and individualized health care in the home setting. Services available include: Home Health Aide: - Daily Living Activity Assistance: Ambulation, bathing, dressing, eating, grooming, toileting, and transferring - Exercises and range of motion Homemaker: - Dusting - Laundry - Light housework - Meal preparation - Shopping Skilled Care: - Medical social services - Nursing Services: Comprehensive terminal care, infusion therapy, medication supervision, newborn bili-blanket therapy, teaching, vein puncture for lab tests, and wound care - Rehabilitative Therapy Services: Occupational, physical, and speech Hospice Program: - Hospice care can be given in the patient's home, a hospital, nursing home, or private hospice facility. - Nurse on-call 24 hours/7 days a week. - Enables patients to continue an alert, pain-free life and to manage other symptoms so that their last days may be spent with dignity and quality.

Alzheimer's and Dementia Care: Provides individualized assessments for evaluating cognitive and functional levels. Services include: - Promoting independence in dressing, bathing, toileting and assistance with memory, communication and swallowing difficulties - Provide education with addressing physical health needs, medication management, strength development and fall risk reduction - Teaching families and caregivers strategies for managing the care needs of their loved ones - Teaching how to effectively respond to challenging behaviors such as aggression, agitation, and repetition - Treatment planning Home Health Aide (HHA): Home Health Aides are responsible for documenting the care provided to individuals, and notifying the case manager of any changes in health. Home Health Aides may assist in the following areas: - Assistance with dressing - Bathing, washing hair and shaving - Getting in/out of bed - Maintaining a safe living environment - Monitoring blood pressure, temperature and other vital signs Skilled Nursing: Provide in home care services while recovering from an illness, injury, or event. Services may include: - Bowel and bladder care - Infusion Therapy - Medication setup and dispensing - Ostomy care - Pain management - Wound care/dressing changes Skilled Therapies: Provides in home occupational, physical, or speech therapy to assist with the recovery process

In-home services providing skilled nursing, physical, occupational, and speech therapy.

Medical and non-medical home care services: - Assistance with bathing and dressing - Caregiver support - Clothing selection assistance - Companionship - Laundry ??- Light housekeeping ?- Light meal preparation - Medication reminder ?- Skilled nursing services - Transitional outpatient care ??? - Transportation and running errands

Provides a 25-bed hospital with specialty medical services, including: - Birthing center and prenatal care - Cancer assessments, diagnostics, and treatment - Cardiac care, including rehabilitation - Courage Kenny Rehabilitation Institute - Dermatology - Diabetes education - Eye care and optical services - Home care - Hospice - Imaging/diagnostics - Laboratory - Mammograms - Occupational services - Orthopedics - Palliative care - Pediatrics - Podiatry - Sleep medicine - Speech therapy - Sports medicine - Women's health

Contract for services with local providers: - Home health aides - Homemakers provide homemaking assistance which may include light housekeeping, laundry, grocery shopping, and running errands - Skilled nurse visits to provide technical procedures, assessments, appropriate interventions, teaching, and medication monitoring

Home health care services include: - Aide services - Fall prevention - Occupational therapy - Physical therapy - Skilled nursing - Speech therapy

- Provides urgent care services for immediate medical attention - Treatments are provided for a range of minor conditions and injuries including stitches, sprains, strains, sore throats, ear infections, and other minor ailments that are not life-threatening - Video visits can be scheduled

- Provides a Public Health Nurse to do an assessment and determines the amount of time that can be authorized

Full Medicare/MA certified Hospice including RN and Home Health Aide and/or Therapy visits as appropriate. Chaplain available on Team and volunteer program to support caregivers. 24 hour RN coverage. Full service home care and assisted living programs available.

Provides home health aid services such as: - Housecleaning - Personal grooming - Grocery shopping for elders - Food distribution delivery - Prescription delivery - Monitoring vital signs - Respite care services - Medical transportation to and from medical appointments - Out of town transportation with IHS referrals Please contact the CHR office at least two weeks in advance for transports. Priority list for services is as follows: - Elders - Diabetic/Dialysis patients - Heart/Cancer patients - Handicapped - General population CHR reserves the right to deny services to people with warrants, incarceration, intoxication, using illegal drugs, numerous cancellations, etc.

Provides the following services: - Home health aides - Homemaker/companion care - Personal care attendant - Rehabilitative services (physical therapy, occupational therapy, speech therapy, medical social services) - RN, LPN, skilled care

Provides a range of primary care options including the following: Clinic Services: - Adult Day Care - Adult Pulmonology - Ambulance - Cardiac Rehab - Dermatology - Diabetes Education - Emergency Room - Hematology - Home Health - Hospice - Hospital Care - Infectious Diseases - Laboratory - Nephrology - Occupational Therapy - Oncology - Physical Therapy - Radiology - Sleep Studies - Speech Therapy - Surgical Services - Therapy Services Outpatient Specialty Clinic Services: - Cardiology - Podiatry - Orthopedics - Surgical Consult - Urology ?

Provides home health care services to help individuals who want to remain living independently in their home. The goal is to help individuals avoid rehospitalizations and emergency room visits. Services may include: - Home Health Aides: Provide periodic personal care, light meal preparation, housekeeping, and give verbal or visual reminders for performing scheduled treatments and exercises - Nurses: Monitor patient health for managing illness, infection control, wound care, home safety, medication management, and IV therapy - Therapists: Offer physical, occupational, and speech therapy to improve and restore skills that were lost or diminished due to illness or accident.

Individuals fill out a questionnaire. Answers are reviewed by an Essentia provider who will make a diagnosis and create a care plan. Prescriptions may be provided. Individuals are also given a phone number to call if they have questions or concerns. The process usually takes 60 minutes or less. Conditions Treated Allergy symptoms, like sneezing, runny nose or eye irritation Bug bites, including tick bites Colds Eye infections, such as conjunctivitis (pink eye) Irritable bowel syndrome Low back pain Mouth sores, including canker sores - Skin conditions, including Acne Dermatitis Diaper rash Eczema Mild burns Shingles Tinea infections, also called ringworm Tobacco use Upper respiration infections, including sinus infections or influenza Urinary tract infections (UTIs) in women Vaginal yeast infections Stye COVID-19 screening is also provided.

Offers medically necessary short-term and long-term health care services to individuals at home. Services may include: - Footcare - Home health aid services, including personal care - IV Therapy - Medication set up and management - Physical, occupational, and speech therapy - RN and LPN services - Wound care

Home care services provides skilled nursing services such as assessment, education, and medication management in the comfort of patients' homes.

Provides the following services and treatment programs: - E-visits - Family medicine - General x-ray - Internal medicine - Laboratory - Diabetes education - Nutrition assessment - Pediatrics - Podiatry - Radiology - Telemedicine