Comprehensive Care Team Approach


Harbor Health Elder Service Plan offers a comprehensive service package provided by ESP’s own geriatric professionals guided by the care plan developed and customized for the individual’s needs. The healthcare is coordinated by a team of medical, social and behavioral health professionals. Most of the medical care is provided in our ESP Day Center, transportation included, or in the participant’s home, as needed. Harbor ESP provides access to services 24 hours a day, seven days a week, and 365 days a year. All medical services covered through Medicare and Medicaid are covered although participants may be liable for costs for unauthorized or out-of-PACE-program-agreement services.

Team Members

Primary Care Physicians.

Our geriatricians provide primary care for participants at both the ESP Day Center and when necessary the participants home. The physicians manage referrals to medical specialists in a variety of fields, oversee hospitalizations and coordinate other needed care including tests and laboratory work.

Nursing.

Our Nurse Practitioners and Registered Nurses provide participants with care to maximize their health and well-being by providing personalized preventive healthcare programs and administering medications and therapies as guided by the individualized care plan. In addition, the Registered Nurses and Nurse Practitioners provide medical care in the participant’s home or rehabilitation setting ensuring our participants medical care is cohesive and well-coordinated.

Physical and Occupational therapy.

Therapists provides physical and occupational therapy to assist our participants to improving their strengthen and improve balance so they can remain in the community more safely and improve their quality of movement and life

Behavioral Health Services.

Harbor Health ESP social work and psychiatry staff provides sensitive and caring support for emotional, family, and social issues as part of the Interdisciplinary Team.

Nutritional Counseling and Meals.

Our registered dietitians develop the nutritious and appealing meal plans at the ESP Adult Day Center. Whenever needed we provide personally tailored and monitored meal planning and special diets.

Adult Day Center and Transportation.

Harbor Health ESP Day Center provides a safe, secure and caring environment created specifically for ESP participants. At the center participants have the opportunity to socialize, participate in exercise programs, and events to simulate them intellectually and physically. Center activities include games such as BINGO, Yoga, Musical and Memories Programs, arts and crafts, intergenerational experiences, pet therapy, musical entertainment and more. Transportation is provided to the ESP Day Center as well as outside medical appointments.

Other Services

  • Inpatient hospitalization, short term rehabilitation, and emergency services
  • Prescription drugs, including home delivery and medicine management systems
  • Labs tests, immunizations, and procedures
  • Dental, hearing, podiatry and vision services
  • In home personal care and homemaking as necessary
  • Transportation to medical appointments both at the Day Center and to outside medical facilities