Success Stories

“A patient with significant COPD was having some difficulty and the Care Coordinator could identify that this compromised patient did not have Air Conditioning, but only a fan, for “cooling off” and this was reducing her breathing effort.  The Care Coordinator took it upon herself to use our community resources folder for her assigned practice and found a program that provided window units to the poor and elderly. The patient called back and was having a FREE Air Conditioning unit delivered to her!”

“Speaking with a patient and she stated how thankful she was for our services. States she looks forward to our calls every month. It gives her a sense of security knowing there are health care professionals available to her at anytime and that we truly care about her well being.”

“A cardiac patient recently discharged from the hospital, it was found during a CCM call that he was not taking his cardiac meds correctly, as they were changed during his hospital stay, this was able to be clarified during the call.  His assigned Care Coordinator also recommended that a remote interrogation be sent, which was, and it was determined the patient was in CHF…Quite possibly and hopefully preventing a re-hospitalization for this patient and allowing the Primary Care Provider to treat early.”

“Situation was identified by the assigned Care Coordinator of caregiver burnout.  The caregiver, also a CCM patient, was presenting signs of health decline while caring for spouse with recent dementia diagnoses.  The Care Coordinator in turn reported to MD and was able to get home health assistance in the home for the patient and their spouse.  On their follow up CCM call the caregiver was already showing improvement in their own health with help arranged for them from the Chronic Care Management program.”