NavCareNet.com Blog

Chronic Care Management Boosts In-Home Care

Posted by Dr. Joseph F. West on Jun 23, 2016 3:00:00 PM

Receiving personal care in the privacy and comfort of home can be important for recuperating, chronically or terminally ill patients or persons with disabilities. In-home care facilitates independence and functional improvement. Home health patients receive medical, nursing, and/or therapeutic treatment through a wide range of health and social services. Receiving home health care reduces unavoidable readmissions, and studies have shown that patients recovering from injury, sickness, or surgical procedures heal more quickly and with fewer complications when recovering at home versus in a medical facility.

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Topics: Caregivers, TCM, Senior Health, CCM, In-Home Care

Transitional Care: A Team Approach for Better Care

Posted by Dr. Joseph F. West on Jun 21, 2016 3:30:00 PM

Moving a patient from a hospital to their home or care facility in a community setting is a delicate process. Patients, family members or caregivers can receive confusing recommendations, a laundry list of medications, and conflicting instructions regarding follow-up care. If they are not included in planning or provided with clear “next steps” there can be significant gaps in post-discharge care. As a result, patients will most likely return to the hospital, and often times with more complications than before.

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Topics: Chronic Care Management, Transitional Care Management, Population Health Management, Senior Health

Addressing Social Determinants Through Care Coordination

Posted by Dr. Joseph F. West on Jun 7, 2016 5:45:27 PM

Social conditions and chronic disease are related. Overcoming social factors can be a challenge for the two-thirds of Medicare beneficiaries with two or more chronic conditions. Many of these patients struggle with housing concerns, lack of access to transportation, inadequate nutrition, and job loss. Some are isolated from family and face fragmented care.

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Topics: Chronic Care Management, Senior Health, Care Coordination

Fitness, Fun, and Chronic Care Management

Posted by Dr. Joseph F. West on May 26, 2016 4:30:00 PM

It’s important to remember that patients with chronic conditions can still enjoy life. While chronic diseases can affect a patient’s ability to perform some important daily activities, this doesn’t have to completely restrict social engagement and their enjoyment of family and friends. Enhanced and ongoing communication with doctors, a focus on medication compliance, and patient health education offered by chronic care management (CCM) can provide immediate and long-term benefits. CCM and Transitional Care Management (TCM) can help doctors improve patient health-related quality of life, and boost the number of healthy physical and mental days.

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Topics: Chronic Care Management, Fitness, Population Health Management, Senior Health


A resource for physicians and health systems, and a place for innovative ideas

This blog allows us the opportunity to share insights into unique information, news and updates, as well as provide a place to interact with you. As a care management organization, our blogs will take you through the many facets of care management, from chronic care and transitional care management, to population health management which is where we begin.

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