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Home » Patient Education » Office Based Care Coordination

What is Office Based Care Coordination?

Physician Search



Office Based Care Coordination is a program designed to improve the delivery of medical care to patients with Diabetes, Congestive Heart Failure and Coronary Artery Disease. Your physician and his/her staff have been trained to use evidence based medicine, patient education and coaching and active follow-up to effectively coordinate your care and treatment. The care coordination program provides you with extra assistance to improve your health status and to prevent complications associated with your medical condition. The program is administered through a point person and employee of the office and is called a Care Coordinator.

What is a Care Coordinator?

A Care Coordinator is a professional nurse who will provide you with additional medical support and coordinate your care under the supervision of your physician. This may include scheduling you for nurse visits, outreach and telephone follow-up, education and coaching and other support to assist you in managing your medical condition. Your care coordinator can give you the extra assistance that you may need to meet your treatment goals.

Am I Eligible?

All patients with Coronary Artery Disease, Congestive Heart Failure, and/or Diabetes are eligible for the Office Based Care Coordination program.

How am I Selected?

Patients in the Office Based Care Coordination program are identified by:
·         Physician and practice team
·         The type of medications you are on
·         Your lab test results
·         Hospitalizations and Emergency Room visits
·         Self-referral – you can request to participate
·         Information you provide to our office
 

Program Information

To learn more about the Office Based Care Coordination program, please call our toll-free number at 877-304-2472