Virtual CARE Nurse℠

Inspire Care™ provides a dedicated Virtual CARE Nurse℠ “RN” to Medicaid beneficiaries enrolled in MI CARE℠ adult home help services “AHHS”.

In accordance with the Michigan Department of Health and Human Services “MDHHS” case management is the primary service delivery method.  Our case management is an ongoing process which assists adults in need of home and community-based long-term care services to access needed medical, social, vocational, rehabilitative and other services.

Virtual CARE Nurse℠ Case Management

Comprehensive assessment to identify all of the patient’s strengths and limitations in the areas of physical, cognitive, social and emotional functioning as well as financial and environmental needs.

Comprehensive individualized service plan is developed to address the identified strengths and limitations of the client using the information obtained in the assessment.

Mobilization and coordination of providers, family and community resources to implement the service plan by authorizing/ arranging for needed services or advocating for the patient to access needed government or community services.

Ongoing monitoring of services to maintain regular contact with the patient, informal caregivers and other service providers to evaluate whether the services are appropriate, of high quality, and are meeting the patient’s current needs.

Regular assessment and follow-up as a formal review of the patient’s status to determine whether the person’s situation and functioning have changed and to review the quality and appropriateness of services.

Virtual CARE Nurse℠ Hands-On

Our dedicated Virtual CARE Nurse℠ provides hands on Health Assessments, Health Prevention, Wellness Promotion, and Disease Management Education.

Health Assessments

A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the long-term care provider. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history. It is don’t to detect diseases early in people that may look and feel well.

Health assessment is the evaluation of the health status of an individual along the health continuum. The purpose of the assessment is to establish where on the health continuum the individual is because this guides how to approach and treat the individual. The health continuum approaches range from preventative, to treatment, to palliative care in relation to the individual’s status on the health continuum. It is not the treatment or treatment plan. The plan related to findings is a care plan which is preceded by the specialty such as medical, physical therapy, nursing, etc.

Health Prevention

Disease prevention focuses on prevention strategies to reduce the risk of developing chronic diseases and other morbidities.

Health promotion and disease prevention programs often address social determinants of health. Which influence modifiable risk behaviors. Social determinants of health are the economic, social, cultural, and political conditions in which people are born, grow, ad live that affect health status. Modifiable risk behaviors include, for example, tobacco use, poor eating habits, and lack of physical activity, which contribute to the development of chronic disease. Typical activities for health promotion and disease prevention programs include:

Wellness Promotion

Wellness promotion engages and empowers individuals and communities to engage in health behaviors, and make changes that reduce the risk of developing chronic diseases and other morbidities.

Wellness promotion is the provision of information and/or education to individuals, families, and communities that-encourage family unity, community commitment, and traditional spirituality, that make positive contributions to their health status. Wellness promotion is also the promotion of health ideas and concepts to motivate individuals to adopt healthy behaviors. Health promotion is the process of enabling people to increase control over, and to improve their health.

Disease Management Education

Disease Management Education reduces healthcare costs and improves quality of life for Medicaid beneficiaries with chronic health conditions by minimizing the effects of the disease through integrated care. Disease Management Education enables persons with chronic health conditions to identify and treat conditions more quickly and more effectively, thus slowing the progression of their diseases. Our Virtual CARE Nurses℠ help coordinate health care interventions and communications for patients where self-care efforts can be implemented.

Virtual CARE Nurse℠ Partnerships

Our dedicated Virtual CARE Nurse℠ has a critical role in developing and maintaining partnerships with community resources.

To facilitate these partnerships the dedicated Virtual CARE Nurse℠ will:

Advocate for programs to address the needs of patients.

Emphasize patient choice and quality outcomes.

Encourage access and availability of supportive services.

Work cooperatively with other agencies to ensure effective coordination of services.

Coordinate available resources with home help services in developing a services plan that addresses the full range of patient needs.