Our experienced and highly trained care managers, nurses and social workers are available to assist our patients and their families manage the medical, psychological and practical issues created by illness, hospitalization or medical treatment.

DISEASE MANAGEMENT

We help patients and family members understand and manage chronic conditions such as congestive heart failure (CHF) and diabetes. Our highly experienced and specially trained nurses work with you and your caregivers to educated you about your condition and help you develop a management plan. We strive to improve the health and wellness of members with these chronic conditions.

CASE MANAGEMENT

Patient and family members receive health information and care for conditions that may arise after hospitalization, surgery or other medical situations. Talk to your doctor about a referral to our Case Management Program. Our registered nurse care managers and social workers offer a wide range of services, including:

  • Assistance with arranging alternate levels of care for patients leaving the hospital, including rehabilitation facilities, skilled nursing facilities, hospice or other options
  • Assistance with arranging for durable medical equipment
  • Connecting patients with support and educational groups as well as other community resources
PREVENTIVE CARE RECOMMENDATIONS

We encourage patients to take an active part in staying healthy. If you have ongoing health issues or special needs, talk to your primary care physician about developing a plan to address them.

RECOMMENDED YEARLY ROUTINE CARE AND TESTS

  • Annual wellness visit with your PCP
  • Blood pressure measurement at every visit
  • Flu vaccine
  • Pneumonia vaccination

In addition to routine care, please talk to your primary care physician about these important topics:

  • How to reduce the risk of falls
  • Frequency of colorectal cancer screening
  • Amount of physical activity needed to improve and maintain health
  • Anxiety, stress or depression
  • Use and side effects of prescription and over the counter medications

TESTS FOR WOMEN

  • Mammogram for breast cancer screening every two years or when recommended by your physician
  • Osteoporosis testing or DEXA Scan test after age 65 and/or after a fracture

TESTS FOR PEOPLE WITH DIABETES

  • Hemoglobin A1c blood test
  • Retinal eye exam (annually)
  • Foot exam
  • Kidney test

GENERIC VS. BRAND MEDICATIONS

In many cases, generic medications are the same as brand name drugs in dosage, quality, strength, intended use and performance, and are available at a lower cost.

WHEN TO USE URGENT CARE

Medical problems do not always happen when your primary care physician is available. Some examples of when to seek out urgent care include:

  • Fever or severe sore throat
  • Minor stomach pain
  • Minor wounds needing stitches
  • Minor injuries such as sprains or breaks

You should always notify your primary care physician of any care received in an urgent care center.

EMERGENCY DEPARTMENT VS. URGENT CARE

In a life-threatening situation or serious injuries, immediately call 911 or go directly to the nearest emergency department. Once there, inform the emergency department staff of your primary care physician so that your physician can help coordinate your care. If you are hospitalized, you or your family member should notify your primary care physician as soon as your condition is stabilized.

AFTER HOSPITAL DISCHARGE

Remember to make an appointment to see your primary care physician right after you are discharged. Your doctor and care team will go over your discharge instructions, your medical conditions, test results, medications and follow-up plan and answer any questions you or your family member may have.