When Should Patients, Facilities, Caregivers & Providers Contact Us?
\\PATIENTS/CAREGIVERS: We are Happy to Assist with...
* Improving Your Quality of Life * Learning to Function & Live with Chronic Illness * Prevention & Treatment of Exacerbations * Medication Education and Monitoring * Transitioning Your Care Safely From a Hospital or Nursing Home * Family Care Meetings to Discuss Your Wishes * Advanced Care Planning * Patient Advocacy * Assisting in Goals for the Future
ALL of These Services can bein Conjunction WithYour Family, Provider & Specialists
PROVIDERS: Please feel free to refer any chronically ill patient that may exhibit these triggers...
* Repeat Hospitalizations or ER Visits * Recurrent Office Visits * Unable to Make Scheduled Office Visits * Frequent Adjustment of Medication * Care Coordination * Poor Prognosis or Likely Hospice Candidate * Family or Caregiver Strain * Decisional Conflict or Treatment Contemplation * Family Asking For Additional Care at Home * Anyone Homebound, or Disabled
Decisions can be made with Provider notification, to Help Improve Your Patient Centered Medical Home & Protect the Patient-Provider Relationship