Partners in Care Foundation offers a number of programs and services to thousands of clients in Southern California, including Medicaid waiver programs (one for South Los Angeles, one in the San Fernando and Antelope Valleys, one in Santa Barbara and one in Kern County), a disease prevention/health promotion program, and a caregiver support program—as well as an innovation, research, and evidence-based program dissemination center called the Institute for Change. In the mid-1980s, the home health nurses reported to management of the Visiting Nurse Association of Los Angeles (later converted to Partners in Care Foundation after sale of the home health business) that they suspected problems with their clients' medications and asked whether a consulting pharmacist could be enlisted to help. The positive experience resulting from this nurse-pharmacist collaboration prompted working with Vanderbilt University and the Visiting Nurse Service of New York on an RCT. The positive results and further testing in the Medicaid waiver program led the Partners in Care Foundation of San Fernando, CA to develop HomeMeds, as described in the Planning and Development section.
The John A. Hartford Foundation funded the research that established HomeMeds' effectiveness, and then funded efforts to develop software and disseminate the program nationwide. In 2003, Partners was awarded funding from the U.S. Administration on Aging to further develop HomeMeds, in which these highly skilled community health coaches, adept at patient engagement, and knowledgeable about community resources, visit the home of high-risk individuals to conduct a formal medication safety assessment, as well as an assessment of environmental, functional and psychosocial needs.