This project will support training for community health workers at neighborhood-based organizations in Detroit and improve coordination among those organizations to better serve older adults. Community health workers will be trained on aging-related topics and...
Valley Area Agency on Aging will launch a 24-hour virtual assistance program that includes telehealth services and increased care coordination and follow up as patients transition home. Valley Area Agency on Aging will remotely monitor patients using medical...
Huron Memorial Hospital/McLaren Thumb Region will replicate a successful care transitions model to reduce hospital readmissions and associated costs for older adults in a rural community setting. This project builds on a 2018 grant to the Region VII Area Agency on...
Henry Ford Health System will launch a new program to provide specialized care to older adults who have experienced cognitive and psychiatric issues following critical illness and hospitalization in the ICU, including patients surviving COVID-19. After a comprehensive...
Detroit Area Agency on Aging and its partners will create a community-wide framework that leverages public and private partnerships to address health disparities in Detroit. The framework will identify opportunities to increase access to care, integrate and coordinate...
To achieve statewide integration between Michigan’s Area Agencies on Aging and physical health providers, this project will develop and implement best practices for data-driven, integrated care coordination for older adults with complex care needs. Additionally,...
In partnership with Spectrum Health Lakeland, Region IV Area Agency on Aging will create a community of care model to integrate clinical care with home-based supports and services. This project builds on work from a 2019 Healthy Aging planning grant. Region IV Area...
The project will improve Medicaid-eligible Kalamazoo County older adults’ functional ability, health status, and quality of life by providing managed care coordination (physical-behavioral health) for older adults on Medicaid who are not eligible presently for managed...
The Washtenaw Integrated Senior Experience (WISE) Program will remove barriers and increase access to services for vulnerable older adults. Jewish Family Services of Washtenaw County will work with PCE Systems to modify MiCareConnect to include a cross-agency data...
