Patient Engagement

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  • 24 x 7 availability – phone, text, app, portal, email
  • Care Management Program Enrollment
  • Care Planning – co-develop with patients, monitor and ongoing discussion
  • Education – Health competencies and patient’s role
  • Follow-ups - filling prescriptions, lab tests, specialist referrals
  • Home Visits – over 10% are home bound
  • Pre-office visits patient preparation
  • Preventative screenings and wellness
  • Relationship Development – Physician, Care Team, Care Management
  • Virtual Visits
  • Patient-Reported Outcomes
  • Risk Stratification
  • Social Determinants of Health

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