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What is a chronic condition?

Chronic conditions are typically expected to last longer than a year. Examples of chronic conditions include cancer, diabetes, kidney disease, and heart disease. Chronic conditions place patients at significant risk for functional decline, exacerbation, or death. Nearly half of adults in the United States suffer from at least one chronic condition.

What is chronic care management (CCM)?

CCM is our patient-centered program for those suffering from two or more chronic conditions. The program is designed to provide higher patient satisfaction and better health outcomes.

What are the benefits of CCM?

The key to our CCM program is coordinated care. Firstly, each patient is assigned a care management team member. This is the patient’s direct point-of-contact on a regular basis. The care management team member compiles critical information from all of the patient’s providers, including primary care physicians, pharmacists, and any other providers, regardless of hospital location.

Specific benefits include:

  • Efficient medication refills
  • Timely referrals and communication
  • Ongoing patient education of chronic care self-management skills
  • Regular updates to primary care provider of the patient’s status
  • Regular assessments to prevent exacerbation of symptoms
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