Primary Care At Home
We’ve revived the house call by developing a home-based medical care program for older adults and adults living with a disability designed to lessen emergency room visits and hospitalizations. The program’s dedicated medical team makes regularly scheduled home visits with the time to deliver personalized, inclusive care to address the patient’s health and overall well-being.
“It’s been wonderful. I have so much help. Now I’m getting my medications. They call me every week to get my blood pressure and make sure I’m alright. I do have faith in this program because they’re very attentive and answer all my questions I have and they listen. I trust them with all my healthcare. I consider them friends as well as caretakers.”
– Alice S.
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 Masters Level Social Workers provide:
- In-home counseling
- 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
- 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
Michigan Health Endowment Fund was instrumental in starting the Primary Care at Home program.
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.