Care Management & Coordination
Chronic care management, transitional care, and family engagement for better outcomes.
Learn About CCM
Program Overview
- Chronic Care Management (CCM)
- Transitional Care Management
- Annual Wellness Visits
- Behavioral Health Integration
Care Team Structure
- Dedicated care coordinators
- Clinical protocols
- Family engagement model
- PCP collaboration
Technology Platform
- Care plan development
- Progress tracking
- Outcome measurement
- Reporting capabilities
Success Metrics
- Hospital readmission rates
- Medication adherence
- Patient satisfaction
- Quality measures