Michigan State University will design the Caring for Patients with Chronic Conditions residency curriculum (CPCC) and deliver the curriculum for all MSU internal medicine residents. Residents will work with community partners to coordinate medical and non-medical...
Through this grant, the Michigan Center for Clinical Systems Improvement will conduct eight in-depth trainings for primary care teams throughout the state to apply evidence-based care models of Substance-use screening, Brief Intervention, and Treatment (SBIRT), and/or...
Michigan State University, Munson Healthcare, and community partners will develop and implement a program to improve nutrition for older adults with chronic conditions in order to reduce risk for readmission. Seniors will receive meals tailored to their specific...
This project will use a multi-modal approach to reduce obesity and related chronic conditions in Lenawee County. ProMedica Bixby Hospital will expand the Veggie Mobile mobile produce market, create new educational modules and partner with organization to increase...
Hospice of Michigan will provide home-based care management to support Michigan children who have life-long serious illnesses. Community nurse practitioners and social workers will partner with pediatric specialists to provide family-centered, sustainable, and...
The Michigan Disability Rights Coalition will bring the Living Well with a Disability program to assisted living, senior residences, and low-income housing facilities for individuals with chronic diseases in Ingham, Eaton, and Clinton counties. The program will...
PACE Southeast Michigan will create a remote care management platform to reduce the number of avoidable and preventable emergency department visits and hospitalizations among PACE Southeast Michigan participants. Case managers will monitor alerts for any warning signs...
Greater Midland Community Centers, in collaboration with MidMichigan Health, will scale an initiative to improve the health of individuals at risk of long-term chronic disease by connecting the medical community through The Physician Referred Wellness Advocate...
Lake Superior Hospice will develop a continuum of care for older adults with chronic conditions by bringing together several new and expanded palliative care and hospice programs under one agency umbrella. Lake Superior Hospice will pilot the Journeys program, which...
