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 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...
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...
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,...
The Area Agency on Aging 1-B will reduce expected hospitalizations for the Medicaid MI Choice population by operationalizing new technologies that identify risks and connect participants to appropriate care. This grant will support incorporating the Smart Survey...
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...
