If you have two or more chronic conditions you may benefit from the CCM program. Examples of chronic conditions include high blood pressure, diabetes, asthma, arthritis, heart disease and kidney disease.
As a participant of CCM, a registered nurse from your care team will serve as your liaison to provide:
- A personalized care plan
- Assistance with scheduling appointments, lab tests and other services
- Help with how and when to take your medications
- Coordination between your health care providers, including follow-up care after leaving the hospital
- Coordination of home health and medical equipment needs
- Connection to local health resources and programs
- Access to other support services you need to stay well