Chronic Care Management New Smyrna Beach, FL
Chronic conditions such as diabetes, heart disease, COPD, obesity, and high blood pressure can play a significant role in your quality of life. At Complete Health in New Smyrna Beach, FL, we understand the importance of effectively managing chronic medical conditions.
Our comprehensive chronic care management program is designed for patients with two or more chronic conditions to help navigate the complexities of managing long-term diseases. Our proactive approach allows our team to review your medical records between visits to coordinate better care, manage your prescriptions, and improve the overall management of your medical conditions. Our primary care clinic in New Smyrna Beach, FL, is committed to providing the highest level of care for all our patients by facilitating compassionate, comprehensive, and personalized care to improve the outcomes of chronic conditions and overall quality of life.
In addition, senior primary care services are also available through our clinic to address the unique needs of older patients, ensuring they receive care specific to their healthcare challenges.
Benefits of Chronic Care Management
A comprehensive chronic care management (CCM) program is an effective way for patients and physicians to engage and manage chronic medical conditions. The benefits of a CCM include:
- 24/7 access to care. Our chronic care management program provides access to a nurse’s call line allowing patients to obtain care at any time.
- Proactive care. Our team works to identify issues before they become serious problems by performing monthly check-ins via telephone, telehealth, or electronic means.
- Fewer hospitalizations and ER visits. Preventative care can help manage and adjust therapies so your conditions remain under control and do not require an ER visit.
- Improved health outcomes. Individual care improves the level of care and can help patients reach their healthcare goals.
- Improved patient satisfaction. Our CCM program allows our patients to live healthier lives which can reduce healthcare costs and improve access to their doctors. These are just a few reasons patients are more satisfied with their care when participating in a CCM program.
Chronic Care Management Care Plan
A chronic care management care plan is a personalized plan to address all medical conditions of a patient and any concerns they may have about their treatment. The personalized care plans are available electronically and shared with patients to provide visual feedback on their treatment progress.
The main components of a chronic care management care plan include:
- A complete list of all medical conditions, prescriptions, and allergies.
- A prognosis and outcome for each condition.
- Objective treatment goals and strategies for managing symptoms.
- Resources and supportive measures to better assist each patient with achieving their goals.
- All interventions with a timeline to keep track of future treatments.
The development, follow-up, and adjustment of chronic care plans are all under the guidance of a healthcare provider. Additionally, our CCM team will work with you to personalize your care plan. Regular check-ins are then scheduled with your doctor, nurse, or a care plan specialist to monitor your conditions’ progression. Working as a healthcare team, patients benefit from improved results and more feedback regarding their treatment.
Our Approach to Comprehensive Chronic Care Management
Complete Health in New Smyrna Beach, FL, uses a holistic approach to manage each patient’s chronic conditions. Through a multifaceted approach utilizing medications, education, communication, self-help, and complementary treatments to improve health outcomes.
Using a multidisciplinary team, we can help patients coordinate their care and improve access to the healthcare system. To ensure we are available whenever you need us, we utilize a team consisting of doctors, physician assistants, nurse practitioners, and nurses.
At Complete Health, we believe regular check-ins can help patients monitor their progress, address any questions or issues, and adjust their treatment plan when needed. These personalized treatment measures enhance the personalized care provided, which translates to improved outcomes and patient satisfaction.
Patient Engagement and Education
At Complete Health, we want our patients to play an active role in managing their chronic diseases. To accomplish this we use a three-prong approach consisting of the following measures.
- Patient Education. Educational resources can provide valuable information to help patients understand their health conditions and allow them to make informed decisions about their care.
- Tools and Resources for Self-Management. Having the right tools and resources can help patients make better decisions regarding diet, exercise, and a healthy lifestyle.
- Patient Support Systems. While empowering a patient to take ownership of their disease, we remain only a phone call away for any questions or issues when they arise. Additionally, Complete Health works to identify community support networks to help patients cope with chronic diseases.
Technology in Chronic Care Management
Technological advancements have improved access to medical information and helped patients better track and manage their health.
- Use of Telehealth and Remote Monitoring. Virtual check-ins and appointments can improve the convenience of regular check-ins. Advancements in devices allow at-home testing (blood sugar levels) with the function of transmitting results directly to your physician.
- Electronic Health Records (EHR). Reminders and alerts offered by EHR systems help clinicians and patients track upcoming screening tests. These systems also allow patients to review their labs and clinic notes.
- Mobile Health Applications. Mobile phone apps can provide improved tracking of diet, exercise, vitals, and other health-related events to facilitate a healthy lifestyle.
Measuring Success in Chronic Care Management
To ensure our program is operating at the highest level we utilize various methods to monitor and improve the program.
- Key Performance Indicators (KPIs). Various aspects of our program are evaluated with KPIs to ensure we are meeting all our objectives.
- Patient Feedback and Satisfaction Surveys. We elicit your opinions and thoughts through patient surveys to identify deficiencies and improve the program, molding it into a more patient-friendly experience.
- Continuous Improvement Strategies. Having strategies to implement changes ensures any deficiencies can be addressed quickly and effectively.
Contact Us
If you’re interested in enrolling in a comprehensive CCM program:
- Call our Complete Health New Smyrna Beach office at 386-423-2550 to schedule a consultation.
- Use your patient portal to schedule a consultation.
- Additionally, you can discuss the program with your healthcare provider at your next visit and our staff can help you schedule a consultation.