Updated to reflect the November 2025 Consolidated AFC Administrative Rules (R 400.601–R 400.745)
Chapter 1: Lesson A - Understanding the Concept of Medical Fragility
Chapter 1: Lesson B - Categories and Clinical Criteria for Determining Medical Fragility
Chapter 1: Lesson C - Legal, Ethical, and Operational Considerations in Serving the Medically Fragile
Chapter 2: Lesson A - Neurological Conditions and Developmental Disabilities
Chapter 2: Lesson B - Respiratory and Cardiopulmonary Conditions
Chapter 2: Lesson C - Mobility Impairments and Progressive Physical Conditions
Chapter 2 - Lesson D: Serving Those With Brittle Bones
Chapter 3: Lesson A - Building and Sustaining Clinical Competence in Group Living Settings
Chapter 3: Lesson B - Creating a Competency-Based Staff Development Program
Chapter 3: Lesson C - Collaborating with Medical Professionals to Support Clinical Oversight
Chapter 4: Lesson A - Post-Test
Group Living Course 1143 • Michigan AFC • 4 CEUs
Build group living programs that truly protect medically fragile residents. Learn how to define medical fragility, understand high-risk conditions, and implement safeguards, staffing, and clinical oversight that support safety, dignity, and quality of life in Michigan Adult Foster Care homes.
Clarify what “medically fragile” means in a group home context, including common diagnoses, acuity markers, and risk factors that demand elevated safeguards in Adult Foster Care environments.
Review neurological, respiratory, cardiopulmonary, metabolic, and mobility-related conditions and how each can affect monitoring, staffing, equipment needs, and escalation pathways for residents.
Learn how to align policies, training, and clinical partnerships so your team can competently support medically fragile residents while staying within scope and meeting licensing expectations.
Explore practical strategies for competency-based orientation and ongoing in-service training, including checklists, simulations, and documentation that demonstrate readiness to regulators and payors.
Strengthen collaboration with physicians, nurses, and therapists to support clinical oversight, care planning, and risk management in medically complex group living arrangements.
Connect condition-specific safeguards to incident review, QA tracking, and policy updates so your medically fragile program evolves with resident needs and regulatory expectations.
Course 1143 helps Michigan Adult Foster Care providers show regulators, hospitals, and families that their medically fragile group living programs are built on thoughtful clinical safeguards and staff competence—not guesswork.
