Our goal is to provide you with the best care possible and to minimize costs and inconvenience to you. We know your time and your health is valuable.
Chronic Care Management Program
To Qualify, Patients Must:
Have multiple (two or more) chronic conditions expected to last at least 12 months.
Chronic conditions in that place the patient at significant risk of functional decline.
The Program Includes:
Comprehensive plan of care established, implemented, and continuously monitored by a Nurse Practitioner.
Outline of areas of focus/improvement, expected outcome, and prognosis.
Measurable treatment goals and symptom management.
Examples of Chronic Conditions Include:
• Alzheimer’s Disease
• Cardiovascular Disease
• Infectious Diseases
• Atrial Fibrillation
• HIV / AIDS
Diabetic Management Program
What to Expect:
Personalized, in-home education and materials
Clinical guidance for disease management and outcomes measurement
Medication consultation and guidance
How Can it Help:
Lower A1C levels
Reduction in hospitalizations
Improved quality of life
Prevent or reduce diabetes complications
Benefits of the Program:
A coordinated approach to care
Nurse Practitioner oversight
Hospitalization readmission reduction
Clinic appointment compliance