Care Management & Coordination

Our CarpeVITA Care Coordinators are here to assist you 24 hours a day, 365 days a year. They will find the healthcare providers who can best serve you or your loved one, coordinate the care, and facilitate the collaboration, communication and information-sharing among the providers. They will also create a Personalized Care Plan for you or your loved one, monitor compliance, manage medications and more. This streamlined process will ease your involvement, remove redundancies and errors between providers, and ensure you get better outcomes and greater value.

Chronic Care Management

Continuous oversight for chronic medical conditions (such as diabetes, high cholesterol, high blood pressure, heart disease, lung disease, depression and many others) is something that is missing from our healthcare industry even though it makes all the difference. CarpeVITA Care Management will effectively manage chronic care in partnership with you or your loved one’s healthcare team so that you can reduce your costs and improve health outcomes and patient-provider communication.

  • We collaborate with all physicians involved.
  • We carefully monitor and provide comprehensive care for all chronic health conditions.
  • We supplement regular office or home visits with a minimum of two phone calls per month.
  • We evaluate and make modifications to the current care plan as needed.
  • Services may include medication reconciliation, environment assessment, and recommendation for preventative care services and social services.

Transitional Care Management

A visit to the emergency room, admission to the hospital or a stay in a physical rehabilitation or nursing facility can be a stressful and confusing time for seniors and their families. Transitional care is the bridge between hospital and home.

  • We facilitate communication with all healthcare providers and caregivers involved to ensure clear and precise discharge instructions, including a thorough review of medications.
  • We schedule follow up appointments and provide physician house calls and access to medical providers by phone 24 hours a day, 365 days a year.
  • Every patient will be assigned a Care Coordinator to coordinate home care and confirm that durable medical equipment has been ordered and delivered promptly if needed.

Contact Us Today to Speak With a Care Coordinator!

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