Transitional Care Coordination
In the fall of 2012, Covenant Health Partners introduced an innovative care coordination program we believe will revolutionize the patient experience and create healthier communities.
As our patients transition across different care settings, a team comprised of registered nurses and patient navigators work hand-in-hand with physicians and patients to improve outcomes for chronic conditions through education, goal-specific behavior change, and the procurement of necessary resources.
Tailored Education Provided For
- Chronic Obstructive Pulmonary Disease
- Congestive Heart Failure
- Coronary Artery Disease
A Disease Management Program Unlike Any Other
Education serves as the foundation in facilitating changes in behavior, improving our patients' ability to manage their chronic diseases.
The care coordination program affects behavior change through motivational interviewing, increasing patient confidence and helping them to become self-sufficient.
From the comfort of their homes, patients can experience a highly interactive visitation, during which Care Coordinators use sophisticated processes and protocols to promote patient engagement and behavior change.
This interaction is intended to achieve the outcomes specifically designed by physicians who direct their care.
Contact Teri Pierce for more information