Better outcomes between your appointments
Healthy At Home partners with physicians, specialists, rehabilitation facilities, and community organizations across Vermont. If your patients are aging in place, we fill the gap between clinical visits with in-home wellness monitoring, exercise programming, and care coordination, and report back.
Your patients go home. Then what?
You see them for 15-30 minutes every 3-6 months. Between those appointments, they’re navigating medications, managing chronic conditions, and living in homes that may or may not be safe without a clinical professional checking in.
You know what happens next. The fall that leads to the fracture. The medication interaction that nobody caught because nobody was monitoring vitals between visits. The slow deconditioning that doesn’t show up in a clinical setting until it’s become a crisis. The family that calls your office in a panic because Dad fell and they want to know if he can still live alone.
Healthy At Home puts a licensed physical therapist with 20+ years of experience in your patient’s home on a regular schedule. We monitor vitals, run a tailored exercise program, sweep the home for hazards, review medications for fall-risk interactions, and report her findings directly to you in clinical language you can act on. We are not duplicating your care. We are not replacing your PT referral or your home health order. We are providing the ongoing, preventive monitoring that those episodic services don’t cover.
Simple process. No paperwork burden on your practice.
No insurance authorization required. Healthy At Home is private pay. There’s no prior authorization, no documentation burden on your staff, and no claims process. Your patient pays us directly. Your involvement is limited to the initial referral and receiving clinical updates.
You contact us
Call or email. Provide the patient’s name, your clinical concern, and any relevant history. A formal referral form is available but not required.
We contact the patient or family
We explain what we do and schedule a Home Safety & Baseline Assessment if the patient is interested. We coordinate logistics.
We perform the assessment
An in-home evaluation covering mobility, balance, strength, medications, home environment, and daily routine. We send you a copy of the report.
Ongoing communication
For patients on applicable plans, we send you periodic clinical updates. We’ll contact you directly if something warrants your attention before the next scheduled appointment.
What you receive when your patient is a Healthy At Home client
Clinical reports, not patient summaries.
Our communications to referring providers are written in clinical language, including functional mobility scores, gait observations, vitals trends, medication concerns, and ADL changes. These aren’t family-friendly newsletters. They’re the kind of longitudinal, in-home observations that inform your clinical decision-making.
In-home data you can’t get in the office.
Your patient walks differently in their hallway than in your clinic corridor. Their blood pressure at 8 a.m. on a Tuesday is different from their blood pressure in your exam room. We provide vital signs tracked over months in the patient’s actual environment and daily routine. For cardiac, Parkinson’s, and patients on complex medication regimens, this data fills gaps that quarterly office visits cannot.
An early warning system
We see functional changes weeks or months before they’d show up at a scheduled appointment. A developing gait deviation, worsening balance deficit, and emerging cognitive shift can greatly increase your patient’s risk of falls and injury. We flag these to you with enough lead time to proactively adjust the care plan.
Home safety intelligence.
As a Certified Aging in Place Specialist, we evaluate the home environment with clinical eyes. When we tell you a patient’s home has unaddressed fall hazards, that assessment includes room-by-room findings and prioritized modification recommendations, not a vague “the home may not be safe.”
A partner in the discharge conversation.
When you need to have a conversation with a patient or family about whether home is still viable, our assessment provides the objective data to support that discussion. We’re in the home. We see the reality. Our recommendation that “home is viable with modifications” or “facility care is the safer option” provides you with clinical backing for a difficult conversation.
The referral relationships we’re building
Primary care physicians and geriatricians
Your patients over 65 are managing multiple conditions, multiple medications, and homes that may not be aging with them. Katie extends your clinical reach into their daily environment. She monitors the vitals you’d check if you could see them monthly, runs the exercise programming you’d prescribe if you had the bandwidth to supervise it, and flags the changes you’d catch if appointments lasted an hour instead of fifteen minutes.
What you gain
- Longitudinal in-home data.
- Early detection of functional decline.
- A clinical partner who speaks your language and keeps your patients safer between visits.
Neurologists and movement disorder specialists
Parkinson’s, Alzheimer’s, and other neurodegenerative conditions require ongoing monitoring that quarterly office visits can’t fully provide. Katie delivers PD-specific exercise programming, cognitive-motor dual-task training for dementia patients, home modifications for freezing of gait and wandering prevention, and medication-timing coordination.
What you gain
- In-home functional data between neurology appointments.
- Fall prevention in the actual environments where your patients fall.
- A clinician who can observe and report medication efficacy in real-world conditions rather than clinical settings.
Concierge and direct primary care physicians
Your practice model is built on deeper relationships and more time with patients. Our model is the same with one practitioner, consistent visits, and no insurance constraints. For your patients aging in place, we provide an in-home extension of the personalized care your practice already delivers.
What you gain
- A natural complement to your care model.
- A partner who shares your philosophy of relationship-based, patient-centered care.
- In-home monitoring that your practice doesn’t have the logistics to provide.
Rehabilitation facilities and discharge planners
The post-discharge window is the highest-risk period for patients. Up to 40% of older adults fall within six months of discharge. We bridge the gap between facility discharge and independent functioning by continuing the exercise programming your therapists started, monitoring for regression, and ensuring the home is safe before and after the patient’s return.
What you gain
- Reduced readmission risk for your patients.
- A warm handoff rather than a discharge-to-nothing gap.
- A clinician who reviews your discharge summary and builds continuity rather than starting over.
Area Agencies on Aging and community organizations
Age Well serves as the Area Agency on Aging for the same region Katie covers. Age Well provides Meals on Wheels, care coordination, Tai Chi programs, and community resources. Katie’s services complement rather than duplicate Age Well’s offerings: professional in-home wellness visits, exercise programming, and clinical-level monitoring that community programs aren’t designed to provide.
Other community organizations
Senior centers, faith communities, veterans’ organizations, and local councils on aging serve as trusted touchpoints for seniors and their families. We welcome referral relationships with any organization whose mission includes keeping Vermont seniors safe and independent.
Home modification contractors
Our assessments generate specific, prioritized modification recommendations, grab bars, stair rails, bathroom reconfiguration, lighting, and threshold adjustments. We need contractors who understand aging-in-place work and can execute these modifications reliably and affordably.
If you’re a contractor with experience in accessibility and aging-in-place modifications, we want to hear from you.
The evidence, briefly
Here’s what the literature supports:
Exercise reduces the risk of falls by 20-50% in community-dwelling older adults. Balance and functional exercises alone reduce the risk of falls by 24%. The Otago Exercise Program shows reductions of 23–40%. These are intervention-level numbers from systematic reviews, not observational studies.
Up to 40% of older adults fall within 6 months of hospital discharge, with the highest risk in the first three weeks. Post-discharge wellness monitoring is an evidence-based intervention for reducing this risk.
Deconditioning after inactivity begins within 72 hours and produces a measurable 13–14% decline in strength within 10 days. Reconditioning takes twice as long as deconditioning. Ongoing exercise programming prevents the decline that generates the next acute episode.
Motor-cognitive dual-task training produces small-to-medium improvements in global cognition and medium-to-large improvements in gait and balance for patients with cognitive impairment — relevant for your Parkinson’s and dementia patients.
The economics are straightforward. Monthly Wellness is $275/month. Complete Care is $975/month. A single hip fracture averages $30,000–$40,000 in direct medical costs. A hospital readmission costs $15,000+. Assisted living in Vermont runs $84,000–$120,000/year. Preventive in-home wellness is among the most cost-effective interventions available for keeping seniors out of facilities and emergency departments.
Credentials and experience
Katie Jewett, PT, CAPS
Katie is a licensed physical therapist with more than 20 years of clinical experience working with older adults. She holds a Certified Aging in Place Specialist (CAPS) credential from the National Association of Home Builders, a certification that combines clinical knowledge of how the body ages with practical knowledge of how to adapt homes.
She founded Healthy At Home because she saw the gap in the system firsthand: patients discharged from PT before they were ready, homes that hadn’t been assessed for safety, families making facility decisions based on fear rather than data. Her practice is private-pay by design: no visit limits, no authorization delays, no rotating staff.
Katie is based in Huntington, Vermont, and serves families within a 40-mile radius — including Burlington, Shelburne, Charlotte, Hinesburg, Middlebury, Stowe, Waterbury, Montpelier, Warren, Waitsfield, and Colchester.
Frequently Asked Questions
No. Healthy At Home is a private-pay wellness practice, not a clinical rehabilitation service. Patients can self-refer or be referred by any provider, family member, or community organization. No prescription, authorization, or referral form is required, though we welcome clinical context from referring providers to inform her assessment.
No. Healthy At Home is a solo wellness practice, not a licensed home health agency. We do not provide skilled nursing, occupational therapy, speech therapy, or wound care. We provide in-home exercise programming, vitals monitoring, home safety assessment, and care coordination, as well as preventive and maintenance services that complement rather than replace agency-based home health.
By your preference — phone, fax, secure email, or EHR messaging if compatible. Clinical updates include functional observations, vital signs data, medication concerns, and home safety findings. Frequency depends on the patient’s plan level: periodic updates for Active Wellness clients, regular reports for Complete Care and Concierge clients, and immediate contact for urgent observations.
No. Healthy At Home is entirely private pay. This means no prior authorization required from your office, no documentation burden on your staff, and no claims process. The patient pays us directly. Monthly plans range from $275 to $975, with Concierge starting at $2,500.
We contact the referring provider directly — by phone for urgent findings, by written communication for non-urgent observations. We do not diagnose or treat. We report what she sees, in clinical language, and recommend that the patient follow up with the appropriate specialist.
Your patients are aging at home. We make sure they’re doing it safely.
Refer a patient
Provide the patient’s name, your clinical concern, and any relevant context. We’ll handle contacting the patient, scheduling the assessment, and sending you the report.
Build a referral relationship:
Get in touch for a brief introductory call, an office visit to your practice, or a presentation to your clinical team.
Or call Katie directly: 802-857-8982