Would you like your doctor to monitor your health more frequently than a few times a year at office?
We are excited to welcome you to our Chronic Care Management Program to provide better care for you in between office visits. Research has shown that patients with chronic diseases stay healthier when they have a dedicated care team to proactively monitor them regularly at home, outside of routine visits at the doctor’s office.
WE ARE YOUR HEALTH ADVOCATE
SERVICES INCLUDED:
- Personalized Health Advocate: Dedicated support to help manage your overall health and wellness.
- Transportation Assistance: Help arranging transportation to and from your office visits.
- Healthcare System Navigation: Guidance to simplify and navigate complex healthcare systems and processes.
- Enhanced Doctor-Patient Communication: We bridge the gap between you and your doctor to ensure clear, effective communication.
- Care Plan Clarity: Assistance in understanding and implementing your care plan following each visit.
- Medication Management: Thorough medication reconciliation to ensure accuracy of your medication list and availability of necessary refills.
- Specialist Coordination: Proactive coordination of care between your primary care provider and specialists.
- Preventive Care Updates: Regular monitoring to ensure all preventive healthcare measures are up-to-date.
- Community Resource Assistance: Support in locating and accessing essential community resources such as food banks, caregiving services, and In-Home Supportive Services (IHSS).
- Personalized Care Plan: A customized care plan tailored specifically to your unique health goals and medical conditions.
- Direct Communication Line: A designated phone line exclusively available for CCM patients to quickly and effectively address your needs.