Strengthening the Care Continuum in Ionia and Montcalm Counties

Community Care Management (CCM) is a benefit program between Samaritas and Priority Health to improve clients’ transitions home after a behavioral health or substance use disorder  hospitalization to support their recovery, effectively connect patients to outpatient...

Care Transition Hospital Readmission Reduction Expansion

The Aging & Adult Services Agency and aging services organizations across Michigan will improve the quality and effectiveness of hospital discharge planning and post-discharge care for older adults in efforts to reduce hospital readmissions, medication errors,...

Interagency Care Teams for High Risk Patients

Berrien Community Foundation will reduce readmission rates and improve health outcomes among older adults with multiple chronic conditions by expanding the Interagency Care Teams for High Risk Patients (ICT). ICT will develop a web-based communication tool for...

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