Evaluation of the San Francisco Support at Home Program: Year 3 Report


Laura Wagner, Jacqueline Miller, Joanne Spetz, Connie Kwong, and Susan Chapman

October 14, 2020

The purpose of this report is to outline the findings from the third year (July 1, 2019-June 30, 2020) of the San Francisco Support at Home ([email protected]) pilot program. This report provides some background information on the program, but more information and context can be found in the Year 1 and Year 2 reports.

Overall, the evaluation has two purposes: (1) support continuous quality improvement of the [email protected] program through ongoing rapid data collection and analysis, and (2) assess the overall efficacy of the program in maintaining residence at home, reducing hospitalizations and emergency department visits, controlling costs, and supporting a high quality of life.

This report provides: (1) a brief introduction to the [email protected] program; (2) demographic, care and financial need, home care services, and overall programmatic data for enrollees; (3) effects of [email protected] on quality of life and health outcomes; (4) results from enrollee focus groups; (5) results from the friend and family caregiver survey; (6) results from the independent care provider survey; (7) financial analysis of the [email protected] program; (8) results from interviews of Institute on Aging (IOA) and Department of Disability and Aging Services (DAS) staff members; and (9) considerations for the future.