Virginia at Home Program (VaH)

The VaH team offers person-centered care for older adults with complex multimorbidity

VaH is a home-based primary care (HBPC) program for older adults living with complex medical concerns and needs, who are confined to their homes (“homebound”) due to medical, functional, and/or cognitive difficulties. VaH currently serves participants living in the city of Charlottesville and Albemarle, Greene, Madison, Orange, Louisa, Fluvanna, Nelson, Buckingham, and Augusta counties.

For homebound persons, which number in the millions across the United States, home-based primary care is a model that has been shown to improve the quality of care and patient satisfaction by bringing primary care directly to patients’ homes.  HBPC programs have also significantly reduced participants’ need for emergency department visits and hospitalizations.

        VaH believes in comprehensive, person-centered primary care that is responsive and equitable. We offer the following services to enrolled participants:

        • Regular House Calls to streamline care and prevent avoidable acute care utilization
        • Caregiver Support and education through house calls, televisits, and referrals to existing community resources
        • Telehealth Visits to extend VaH into rural communities and to allow frequent contact
        • Advance Care Planning to document and support participants’ care goals

        For more information, please call the Virginia at Home team at 434.982.2035.

        Justin Mutter, MD

        Medical Director

        Ava Thomas, MD


        Karen Duffy, AG-ACNP

        Nurse Practitioner

        Ralph Watson

        Program Coordinator
        Post-Acute Liaison
        Tel: 434.982.2035

        Jack Hooppaw, BS

        Patient Advocate