The purpose of Care Coordination is to sync all the care delivered to you,
When care is coordinated, communication is stronger, and health can improve.
Patients with coordinated care receive effective coordination of care
across the medical neighborhood and between care team members.
Care Coordination means strong communication across all elements of the
broader health care system, including specialty care, hospitals, home
health care, community services and supports.
Poor coordination of care drive up cost and harm patient health, especially
for patients with chronic illnesses who see many different providers across
many different settings. Guided by physicians, this program empowers our
members to be in a position to drive their health.
It is confidential and privacy is our highest priority. Additional benefits
include personalized care. All of which is overseen by your physician.
Our purpose is to support you in navigating your health.
Adult Program: Chronic Disease Management for CHF, COPD, Diabetes, Hypertension,
Heart Disease and Asthma
Pediatric Program: Asthma
Medication review by nurses
Locating potential sources for medication assistance
Patient education regarding disease processes, medications and potential
Communication with health care providers
Behavioral change through goal setting
Referral to community resources as appropriate
Program is a free service for patients
How to Refer: