Shawn D’Amelio is on the Radio!

June 13th, 2018


Tune in to hear Shawn D’Amelio, With a Little Help’s Director of Business Development talk about why we are called the Home Care Company “With Heart”.

**As of June 7th at 9am, Our Office is Experiencing Phone Interruptions**

June 7th, 2018

***Comcast has reported that our phone lines will be down until at least 4:30pm today Thursday 6/7/18. If you need to reach us, please email us at***



Why choose a Home Care Company over a Private Caregiver

February 23rd, 2018

A few years ago I attended my niece’s graduation ceremony where I had the pleasure to watch Lou Holtz speak! I was completely enamored and absorbed by his words, not to mention his passion. He said two things in particular that I wrote down that day:

  1. “Everybody needs four things in life: Something to do, someone to love, someone to believe in and something to hope for.”
  2. “Be Significant! Not only in your life, but in many lives!”

Both of these statements struck a chord in my heart and made me think about my life and the work that I do just a little differently.

I work for an amazing company called With a Little Help which is a Home Care Company and my title is Director of Business Development, but my job is to educate and build relationships. Believe me when I say it is my SOMETHING TO DO!

I’m lucky to say that I have a great husband, a son and a daughter in law to love, who all think I am a little crazy, but I’m good with that because it’s true! My husband has 9 siblings and I was blessed with two moms, two dads, 10 siblings, so many cousins, nieces and nephews I can’t even count them, so needless to say there is never a shortage on SOMEONE TO LOVE! But I know not everyone has someone due to distance or loss and I think that is just one of the reasons I so love the village concept and this makes me feel so good about NEST and the good work they do connecting people together so everyone has SOMEONE TO BELIEVE IN.

A few years ago I was asked to be the Conference Chair for the Washington Home Care Association’s Statewide Conference Blooming with the Boomers. Something bloomed inside of me that year when I realized the power education had on Licensed Home Care Companies across the state of Washington to provide a higher standard of care to seniors and those in need. I got excited…….there it was…..BE SIGNIFICANT IN MANY LIVES!   I also learned that putting on a conference is like putting on a wedding with 36 brides also known as speakers!!

Four years later I am now the Vice President of The Washington Home Care Association and so proud of the hard work we do to ensure safety and better care for seniors and those in need across the state of Washington.

Ours goals are:

  • Protect seniors by setting high industry best-practice standards
  • Educate the public about home care benefits, uses, and resources
  • Advocate in Olympia for our client families and our members
  • Coordinate with and educate other health care providers regarding home care
  • Provide connection, support, education, and training opportunities for members and the community

In January I spent the day in Olympia with the Washington Home Care Association for our 2018 In-Home Services Day!

We come together with the Washington State Hospice & Palliative Care Organization and the Home Care Association of Washington, and our lobbyist at our side to talk about the issues surrounding Home Health, Hospice and Home Care with our representatives and senators.


This day always give me










All year we collaborate with each of these organizations that provide skilled nursing, health care and support services that allow people to age in place, recover from illness, adapt to disabilities and transitions at the end-of-life. Together we limit the need for institutional care and reduce the overall cost of healthcare by serving patients in their homes. Below are four of the bills that we were educating our representatives and senators about this year.

The House Bill 1300 addresses the underground caregiving world that is completely unregulated. A few of the reasons using a Licensed Home Care Company makes a difference is that Home Care Agencies are Licensed in the State of Washington by the Department of Health and follow the RCW: Revised Code of Washington and WAC: Washington Administrative Code.

Licensed Home Care Companies are SIGNIFICANT in protecting you and your loved ones by providing:

  • Reference Checks
  • Background Checks
  • Fingerprinting
  • Formal training
  • Payroll
  • Taxes
  • Provide backup caregivers
  • Supervision of our caregivers
  • Regular evaluations
  • Ongoing training
  • Workers Compensations
  • Insurance
  • Bonding

With a Little Help- Shawn D’Amelio, Senator Manka Dhingra,  EvergreenHealth- Teresa Holstein & Anne Ulmer

2018 In-Home Services Day Agenda

  • Support Health Care Authority’s (HCA) Report on Home Health Nursing

Medicaid Home Health reimbursements are less than half the cost of providing the service. Home health and private-duty nursing reduces preventable hospital readmissions, reduces hospital length of stay, and prevents overall admissions for patients. Low reimbursements impede our ability to reduce rising healthcare costs by decreasing access to care. In 2017 the legislature authorized the Health Care Authority to collect data on home health and private duty nursing thru the fall of 2018. In 2019, we will be back with recommendations and a funding request for increased home health reimbursements.

  • Support Expansion of Palliative Care and Hospice in Washington State

We support the Dept. of Health and Health Care Authority efforts establishing a funding mechanism for palliative care. Patients with life-threatening chronic illness, who do not meet the 6 months criteria for hospice, deserve team-based palliative care. Hospice currently is underutilized in our state and may increase with the use of palliative care upstream in the health care progression.

  • Support Addressing the Opioid Crisis in WA State

We support the Governor’s bills, SB 6150, Sponsor: Senator Cleveland /HB 2489 Sponsor: Rep Cody, Concerning opioid use disorder treatment and prevention. (Status-in committee) Opioid addiction has an impact on in-home services agencies as we provide care to patients with chronic pain in their home. We also support HB 1047 Secure Medicine Return, Rep Peterson Sponsor (Status- House 2nd Reading Calendar): In-Home Services patients need convenient access to secure medicine drop-boxes statewide to provide a safe way to remove unused medications and reduce access to opioids.

  • Support Fairness for Home Care Agencies

We support HB 1300, Enforcing employee status to ensure fairness to employers and employees and address the underground economy, Sponsor: Rep Riccelli (Status-in committee) Some home care aides considered independent contractors are not operating within state employment laws such as paying for L & I and paying associated taxes.

Written by

Shawn D’Amelio

With a Little Help

Director of Business Development

Washington Home Care Association’s

Vice President &

Blooming with the Boomers Conference Co-Chair

Art of Alzheimer’s Committee Member

EvergreenHealth Seasons of Hope Committee

Remodeling Strategies for Aging Homeowners

September 25th, 2017

Remodeling Strategies for Aging Homeowners


By Paul Kocharhook, CAPS professional and president of Pathway Design & Construction

There’s no place like home. This is especially true for people who have spent many years in one house – raising families and creating a rich history of memories within its walls and with the surrounding neighborhood. As we age, however, we often face mobility and health issues.  What was once a comfortable and safe haven becomes a place of hazards, barriers, and challenges.  But moving out of your home into an unfamiliar place to solve the problem doesn’t have to be the answer. The great news is, there are a lot of smart options for remodeling your existing home that can allow you or your loved ones to stay in the same place for years to come.

The concept I’m going to talk about is called Aging in Place (AIP). It means, simply, the ability to live in your own home safely, independently, and comfortably as you age. As a home remodeler, I have helped many clients incorporate the right modifications into their homes to age in place. It is always exciting to see the difference it makes in their lives, allowing them to age gracefully and comfortably in a place they know and love.

The Occupational Therapist (OT)

At my remodeling company, Pathway, when we work with clients who would like to explore Aging in Place options, we start by enlisting the services of an Occupational Therapist or OT.   OTs are licensed health professionals who understand the health and disability issues people face over a lifetime and how to match the abilities of an individual with needed supports. According to the AARP website, an OT may do the following:

  • Assess an individual’s abilities, challenges and needs (this is often done by asking questions, such as: Do you have medical conditions that impact your daily life? What activities are painful or difficult for you to do?).
  • Perform a home evaluation and recommend changes to increase safety and ease of use.
  • Identify furnishings, equipment, and techniques that can help with regular or needed activities.
  • Suggest and demonstrate techniques that can make essential activities possible and easier.


The Certified Aging in Place Specialist (CAPS)

Developed by the National Association of Home Builders (NAHB), along with the AARP and others, the Certified Aging in Place Specialist (CAPS) training program certifies building industry professionals to apply Aging in Place modifications to home building and remodeling designs.


At Pathway, I am the CAPS professional. In other situations, the remodeler may bring in a CAPS professional from the outside as well as an OT. After the OT does their work, the CAPS applies the information supplied by the OT to propose potential modifications to the home’s layout, features, and fixtures to enhance function and safety. Because budget is also often an issue, the CAPS can recommend a range of options from most to least critical.


Safety is the primary driver behind added AIP modifications.  Since more than one-third of all injuries to older adults occur in the bathroom, a lot of attention is paid to modifications to that room. Accessibility is also an important aspect of AIP design. This may involve making room for wheelchairs or walkers, removing barriers to mobility, or making things easier to operate or reach. Modifications can include:

  • Increased lighting
  • Accessible light switches at both ends of stairs or hallways
  • Lever-style door handles that are easy to reach and operate
  • Additional railings and grab bars
  • Handheld flexible showerheads
  • Non-slip/skid flooring for both traction and cushion
  • Slip-resistant shower and tubs
  • Curbless (walk-in) showers for easy access
  • Wider doorways to allow for wheelchairs
  • Step-free entrance and/or wheelchair ramps


How to Get Started

The first step is getting the OT assessment. To learn more about OTs, visit  To find an OT in your area, check with your physician, health insurance provider or local hospital. OTs are generally paid a flat fee per visit and their services may be covered by health insurance.

The second step is to find a CAPS professional that can work with a remodeler to land on the modifications that are right for you and your home. To find a CAPS professional in your area, visit the NAHB CAPS directory.

Applying aging in place concepts to a family home is a wonderful idea that can bring great peace of mind. With thoughtful modifications that increase safety, accessibility, and functionality you or your loved ones can enjoy the gift of aging gracefully and comfortably for years to come.




Pathway is a full‑service remodeling company focused on the creation of highly livable and functional spaces through smart design and eco‑friendly, healthy, and energy efficient products and practices. A Pathway remodel is also built to last. Through thoughtful building practices and the use of highly durable products, we help ensure our clients enjoy their remodel for years to come. We specialize in flexible design approaches, such as Better Living Design and Aging in Place that focus on solutions that accommodate a homeowner’s changing needs through all stages of their lives.

Seasons of Hope 2017 November Luncheon

September 14th, 2017

An annual event benefitting EvergreenHealth’s
Hospice and Palliative Care Programs

November 9, 2017 | Noon – 1:30pm
Lynnwood Convention Center

Palliative Care: EvergreenHealth’s Palliative Care consultations are available to all eligible patients, regardless of their insurance coverage or ability to pay. Palliative care is multidisciplinary, and even the broadest insurance coverage rarely includes all of its components.

Hospice Center: EvergreenHealth’s Gene & Irene Wockner Hospice Center is available to those in need of inpatient hospice services. It is the only freestanding hospice center in King and Snohomish counties.

For more information or to register, visit the EvergreenHealth Foundation or contact Meg at

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