Region IV Area Agency on aging will launch a program to integrate social care referrals into primary care settings through the use of interoperable electronic medical records and social care platforms. The project will pilot sustainable billing models and improve care...
In northwest Detroit, a new Health Hub will be launched at Henry Ford High School to address barriers like poverty, unstable housing, and limited access to health care. Families will receive medical care, behavioral health counseling, dental services, and food...
In Grand Rapids’ Boston Square neighborhood, a full-time navigator will be placed at HUB 07, a new community space that brings health and social services together, to support residents facing food insecurity, housing instability, behavioral health needs, and gaps in...
This initiative is an older adult-focused pre- and post- surgical program to help improve outcomes and provide a care transition plan so hundreds of people can receive the follow-up care they need at home. The program will reduce complications and hospital...
To improve service delivery for older adults, this project will modernize data systems and train case managers in new tools and workflows. These upgrades will help staff coordinate care more effectively, reduce delays in services, improve care coordination, respond...
To fill a gap in post-hospital recovery for unhoused individuals, a medical respite program will be co-designed with clinical, housing, and community partners in northern Michigan. The initiative will offer safe recovery spaces, reduce avoidable readmissions, and...
To improve coordination across health and social service providers in the Upper Peninsula, this project will build a secure data exchange that allows eight community-based organizations and 211 to share referrals in real time using their existing systems. Partners...
