Provides secure and compliant access to an electronic person-centered care plan with particular focus on the chronic conditions being managed. Allowing the most up to date data in front of both the provider and the patient when most needed and allow active follow-up to ensure best results.
Expanded Care Team
Provide access to physicians or other qualified health care professionals or clinical staff including providing patients/caregivers with a means to make contact with health care professionals in the practice to address urgent needs.
Continuity of care with a designated member of the care team with whom the patient is able to schedule successive routine appointments.
Designed to activate the patient to self-manage their illness and educate patients to live the best possible quality of life with their chronic conditions. Care management for chronic conditions includes systematic assessment of the patient’s medical, functional, and psychosocial needs; recommended preventive care services; medication reconciliation with review of adherence and potential interactions; and oversight of patient self-management of medications.