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Chronic Care Management Program

Chronic Care Management Program

We are honored to provide you with comprehensive primary care. Compass Medical, along with your insurance carrier has identified the care of chronic health conditions as an important goal.

Chronic conditions are ongoing medical problems that must be managed effectively in a partnership between the health care team and the patient to maintain the best possible health.

To be proactive with your healthcare, the Compass Medical Team has designed this program to collaborate as an organization to provide you with the most compassionate care and patient-centered experience. Sometimes, an effort like this,  TAKES A VILLAGE.

Talk with your Provider today about how to get started!

HELPING YOU TAKE OWNERSHIP OF YOUR HEALTH:

CCM IMAGE1 03

Our commitment to chronic care management is unmatched. Our physicians are experts in managing chronically ill patients, specializing in the geriatric patient population.

This program will allow you to take control of your health with the support of your Care Team. We will work with you on your schedule and your priorities to provide the following:

  • Patient-Centered care plan

  • Telephone calls in between office visits to help you manage your chronic health conditions

  • Consistent communication and involvement between you and your care team

  • Coordination of care with outside providers

FREQUENTLY ASKED QUESTIONS:

WHAT IS THE CHRONIC CARE MANAGEMENT ("CCM") PROGRAM?
Through our Chronic Care Management Program, you and your care team will create and implement a personalized and more comprehensive care plan, proactively managing your care in between office visits to better monitor your chronic diseases and improve your health.

WHO IS YOUR CARE TEAM?
You are the number one member of your care team and along with your Primary Care Provider, Chronic Care Management nurse and the rest of the CCM department, you will proactively work together to reach your healthcare goals.

WHO IS ELIGIBLE FOR THIS PROGRAM?
The “CCM” Program applies to anyone who has:

  • Medicare Part B or an eligible Medicare Replacement Plan

  • Two or more chronic health conditions

WHAT ARE THE BENEFITS TO THE CCM PROGRAM?
The CCM program is dedicated to improving patient outcomes, leading you to a healthier way of life.

  • You will receive a personalized, comprehensive plan of care for all of your health issues.

  • Your care will be coordinated by your physician and care team, including the care you may receive at other locations, such as specialists’ offices, the hospital, other health care facilities, or your home.

WHAT IS THE COST OF THE CCM PROGRAM?
This is a Medicare program, therefor Medicare rules do apply.

HOW DO I ENROLL IN THE PROGRAM?

Enrolling in the CCM program is easy. At your next office visit, simply let your care team know you would like to enroll.

 

MEET THE CHRONIC CARE MANAGEMENT TEAM! 

 

DSC 9515 USE Sheri Bankert, BSN,RN-BC
Program Manager
DSC 9618 Allison Lemieux, LPN
DSC 9641 Alyssa Marini, LPN DSC 9487 Cynthia Conatser, LPN
DSC 9701 Courtney McNamara, LPN DSC 0703 Jennifer Sweeney, CMA
DSC 9578 Joyce Lajeunesse, LPN DSC 9558 Laina Bloncourt, LPN
DSC 3170 USE Marissa Gifford, LPN DSC 0615 Marjorie Helger, LPN
DSC 9663 Sherri Kiff, LPN DSC 3159 USE

Terri Kuskoski,

Administrative Assistant

A MEMBER OF STEWARD HEALTH CARE SYSTEM

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