CHRONIC CARE PROGRAM
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Ongoing Support for Long-Term Conditions
Advanced Chronic Care Programs
Managing chronic conditions requires consistent monitoring, proactive care, and strong coordination. Our chronic care programs provide continuous support between visits to improve outcomes and reduce complications.
What Are Chronic Care Programs?
These programs extend care beyond office visits through monitoring, coordination, and patient engagement.
Our programs include:
Chronic Care Management (CCM)
Supports patients with multiple chronic conditions through:
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Monthly care coordination
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Medication management
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Ongoing communication
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Care plan updates
Remote Patient Monitoring (RPM)
Tracks health data from home, including:
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Blood pressure monitoring
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Blood glucose monitoring
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Early detection of issues
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Provider alerts
Behavioral Health (CoCM)
Integrated mental health support including:
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Depression and anxiety management
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Psychiatric consultation
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Care coordination
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Medication oversight
Transitional Care Management (TCM)
Post-hospital care focused on:
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Reducing readmissions
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Medication reconciliation
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Follow-up coordination
CALVARY MEDICAL CLINIC
Why These Programs Matter
Improve patient outcomes
Reduce hospitalizations & Increase compliance
Provide continuous care
Support providers with data-driven decisions
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