EnhancedCare Solutions
We’ve revived the house call providing an EnhancedCare solution for older adults and adults living with a disability who find it difficult to make office based appointments. Our home-based services address physical health and emotional well-being that can be received together or separately. Each service is designed to provide the patient an inclusive, person-centered care plan in the comfort of home.
Primary Care at Home
What to expect as a patient of Primary Care at Home: The team will provide a medical assessment, develop a care plan, and monitor your needs for possible changes – not only medical but also environmental – to ensure total health and well-being. Plans may include:
- Nurse Practitioners with collaboration and oversight by a Medical Director provide:
- Home and telehealth visits
- Health education
- Comprehensive care plan
- Licensed Master Level Social Workers provide cognitive health assessments to address pain, depression and anxiety issues
- After-hours urgent telephone response
- Remote patient monitoring and chronic care management
- Pharmacist medication review
- Mobile X-Ray, Ultrasound, EKG, and laboratory tests
- Referral to other programs and services within Senior Resources and/or community partners
Who’s Eligible?
- Adults age 60+ or adults age 18-64 who are living with a disability
- Enrolled in Medicare or Medicare Advantage
- Have at least two chronic health condition – a condition(s) that lasts 1 year or more and requires ongoing medical attention or limits activities of daily living or both
- Home-bound or home-limited – have barriers that make it challenging to leave home
- Reside in Muskegon, Oceana, or Ottawa County
What’s the Process?
- Contact the Primary Care at Home team at 231-737-4041 or submit a secure, HIPAA-compliant form to initiate contact from a Medical Supports Coordinator
- Review medical needs with Medical Supports Coordinator
- Schedule in-home assessment with medical team
GUIDE Model
Senior Resources is providing the Guiding an Improved Dementia Experience (GUIDE) Model to enhance quality of life for individuals with dementia and lessen the strain of their caregivers by coordinating proper care and resources. The GUIDE Model can help people with dementia stay in their homes longer by delaying or avoiding the need for nursing home care and improving quality of life for them and their unpaid caregivers. It can provide access up to $2,500 in respite care services each year, dementia management training for caregivers, and support groups and counseling for caregivers and patients.
Who’s Eligible?
- Adults with a diagnosis of dementia or Alzheimer’s Disease
- Living at home or in the community
- Enrolled in Medicare Part B
What’s the Process?
- Contact our Care Navigator to check eligibility and enroll participants at 231-737-4041 (choose option 1) or email PCAH@seniorresourceswmi.org
- A Care Navigator will coordinate a personalized care plan with patients and caregivers
- Caregivers receive training on managing dementia care and are offered access to respite services, support groups, and more
- Care Navigator will regularly check in to monitor progress and adjust the care plan as needed
- All covered by Medicare Part B
In-Home Counseling
For home-limited adults that feel sad or lonely that are experiencing anxiety or depression, we’ve partnered with Hackley Community Care to provide counseling services by caring professionals to help participants feel healthier and more hopeful. What to expect as a participant of In-Home Counseling:
- Personalized support from caring, licensed therapists and staff
- Face to face or virtual sessions to meet your needs and preferences
- Individualized plans designed to achieve your goals for overall well-being
- Referral to other programs and services to address physical health and safety to support your dignity and independence
CONVERSATION. CARING CONNECTIONS. COPING.
Empower at Home is online therapy designed to improve your mood and enhance quality of life. It is free, done in the comfort of your own home with a personal coach. Those participating in the study may earn compensation. Empower at Home Flyer
Who’s Eligible?
- Adults 18+
- Home-bound or home-limited – have barriers that make it challenging to leave home
- Reside in Muskegon, Oceana, or Ottawa County
- Medicare, Medicaid, and most Medicare Advantage Plans accepted
What’s the Process?
- Contact the EnhancedCare Solutions team at 231-737-4041 or submit a secure, HIPAA-compliant form to initiate contact from an Intake Specialist
- Schedule an in-home appointment with the in-home counseling team
Michigan Health Endowment Fund was instrumental in starting the EnhancedCare Solutions program.
Safe Haven
Safe Haven is an Elder Abuse Victim Advocacy and Care Management community program provided by Senior Resources, the area agency on aging serving Muskegon, Oceana, and Ottawa counties. Safe Haven has a team of elder victim specialists that provide confidential, trauma-informed, person-centered wrap around support services for elderly and vulnerable adults who have been victims of abuse, neglect, or exploitation.
Who’s Eligible?
- Individuals aged 60 and older or
vulnerable/disabled adults - Who live in Muskegon, Oceana, or Ottawa
counties; and - Are victims of:
- Physical Abuse
- Emotional Abuse
- Sexual Abuse
- Financial Exploitation
- Neglect
- Abandonment
What’s the Process?
Contact the EnhancedCare Solutions team at
231-733-3565 or 231-733-3532 or email pcah@seniorresourceswmi.org
Learn More in this Video
To schedule a confidential home visit or if you have questions, contact the Primary Care Team:
Primary Care at Home participates with most insurance plans. See form below for complete list.