Coordinated Care at Home
Community-based healthcare support focused on improving health outcomes and safe transitions home.
What to Expect During an MIH Visit
MIH visits are designed to provide personalized support in a comfortable and familiar environment. During a visit, MIH personnel may review medications, evaluate safety concerns, and help connect individuals with ongoing care and community resources.
Services focus on improving health outcomes, reducing preventable hospital readmissions, and supporting safer transitions home.
Wellness Support
Medication review, wellness coaching, and healthcare coordination tailored to patient needs.
Home Safety
Home safety evaluations, fall risk assessments, and support resource guidance.
Community Resources
Connecting individuals and families with local support services and community programs.
MIH visits are currently offered at no cost to eligible patients.
Who May Be Eligible for MIH Services
MIH services may benefit individuals who need additional healthcare coordination, support after a hospital stay, or assistance accessing ongoing community resources and care. Services are designed to help reduce preventable hospital visits and support safer transitions from hospital to home.
Frequent Emergency Care Use
Support for individuals with frequent 911 or emergency department visits.
Recent Hospital Admission
Support for individuals transitioning home following hospitalization or acute care treatment.
Chronic Health Conditions
Including heart failure, COPD/asthma, diabetes, pneumonia, and other qualifying conditions.
Healthcare Provider Referral
Patients referred by healthcare providers for additional support services.
Need More Information?
Questions about MIH services, eligibility, or referrals? Our team is here to help.
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