Everyone deserves exceptional care, especially those who have experienced so much of life. Genevive delivers specialized care and hands-on guidance wherever and whenever our patients need us, even as their situation changes.
Genevive has delivered primary care services to residents in long-term care facilities since 2003. All our primary care providers are board-certified and focused exclusively on Geriatric Medicine, supported by a specialized Geriatric On-Call Group ready to respond when patients need us.
Transitions are complex and difficult at this stage of life. That’s why communication is central to our practice. In regular family conferences, we ask patients and families to tell us their story about the journey to long-term care, and then identify specific, individual goals of care. In addition, we inform patients and caregivers about the purpose and safety of all medications, tests, and therapeutic interventions. This informed and collaborative approach ensures patients receive the care they want and deserve.
Genevive patients are assigned a full-time geriatric physician who works closely with a primary nurse practitioner. This clinical team knows each patient and is directly accessible 12 hours a day, responding quickly when concerns arise. Our providers actively refresh their knowledge with the latest clinical evidence and share it with staff and families.
When patients need help outside of our extended weekday hours, our specialized geriatric call group is there. These practice partners are trained to help the nursing home staff provide care in line with the patient’s care plan and personal wishes. They also excel at keeping the primary Genevive team updated for any changes in the patient’s health status.
Elderly patients with acute illness may not be well enough to return home when discharged from the hospital. They are often transferred to a Transitional Care Unit (TCU) at a nursing home — where the model of care should fit their special treatment needs.
These patients require a very specific kind of holistic care incorporating functional and psychosocial factors, in addition to geriatric medical expertise. This short stay represents a crucial opportunity for restoring an elderly patient’s health and wellbeing. That’s why Genevive offers a unique physician-driven, on-site care model that covers all the patient’s needs from initial evaluation through discharge to home in the community.
Genevive’s full-time geriatric clinicians assume care for patients from the moment they arrive at the TCU, performing medical, functional, and cognitive evaluations. In-depth medication reviews are done routinely demonstrating proficiency in Geriatric Pharmacology. These Genevive clinicians use their special knowledge to communicate unique risks and benefits of medication for frail patients.
At the same time, we physicians also know there is much more to caring for the elderly than just medications. Understanding the extent of cognitive and functional factors is equally important and best accomplished by integration with the other professional disciplines.
Your Genevive physician or nurse practitioner participates in routine rounds with a team representing the various TCU professional disciplines. This includes nursing, physical and occupational therapies, and social service. Identifying clear goals of care, developing a safe discharge plan, and communicating that plan back to the community physicians are standard expectations for our clinicians and the TCU team.
Dr. Nick Schneeman
Genevive CEO and Medical Director
Patients who are eligible for both Medicare and Medicaid can enroll in an insurance product called the Minnesota Senior Health Option (MSHO). For qualified patients, Genevive offers care management services through Medica or UCare.
Each MSHO patient is assigned a Genevive Care Coordinator who helps create an individualized care plan designed to optimize health outcomes. All Care Coordinators are Registered Nurses (RN) or Social Workers (SW) and will work collaboratively with the primary physician and other health professionals. They provide home visits and arrange any needed qualifying services.
A core feature of our innovative care management system is old-fashioned physician home visits for qualified MSHO enrollees. Genevive physicians specializing in complex medical care meet with patients in the comfort of their own homes. When they need help, patients have direct telephone access to the physician’s personal nurse.
Currently, this unique service is only available to Genevive’s MSHO patients