Chronic Care Management Service

Chronic Care Management Services in Angola, Indiana

What is Chronic Care Management?

Chronic care management is a detailed electronic management system, used by a licensed physician or appropriate medical staff, to keep track of a patient’s current health and the chronic condition(s) of which they are suffering. It is designed for patients with Medicare with 2 or more chronic conditions.

Chronic care management does not include face-to-face interaction. A provider, typically a nurse, calls the patient each month, either for a phone or video call, to discuss the needs of current medications or any concerns the patient may have.

How Do I Qualify for Chronic Care Management?

A condition or disease is qualified as chronic when it requires ongoing medical attention or treatment, when it limits the daily life of a patient or their daily activities, and when it simply does not go away with treatment.

To qualify for chronic care management, a patient must have at least two qualifying chronic health conditions. The CDC reports that 6 in 10 American adults suffer from at least one chronic medical condition while 4 in 10 adults residing within the United States suffer from at least two or more chronic medical conditions.

Chronic Medical Conditions

The U.S. National Center for Health Statistics defines a chronic disease as one lasting 3 months or more, one that cannot be prevented by a vaccine, nor can it be cured by treatment. Common qualifying chronic conditions seen by chronic care management teams include:

  • Alzheimer’s
  • Arthritis
  • Asthma
  • Autism
  • Cancer
  • Dementia
  • Depression
  • Diabetes
  • Hypertension, or high blood pressure
  • Lupus
  • Multiple Sclerosis
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What is a Comprehensive Care Plan?

Once it has been determined that a patient qualifies for chronic care management, a nurse will conduct a phone or video conversation with the patient determining any current treatments the patient is undergoing, concerns, or goals the patient may have. The nurse will then put together a comprehensive care plan specific to the patient. Receiving chronic care management treatment through a hospital versus a separate facility provides you with many benefits. Not only are you provided with state-of-the-art medical technology, but also have access to a network of specialists.

A comprehensive care plan outlines:

Personal information: name, date of birth, social security number, home address, and phone number

Patient goals: each set of goals will be tailored to the specific needs of the patient

Current health care providers: a primary care physician, psychiatrist, or psychologist for example

Non-medication treatments that may benefit the patient: utilizing a therapist


Current, diagnosed chronic medical conditions: anxiety, depression, or diabetes for example

Current medications being taken: both over the counter and prescription medications should be recorded for accurate record-keeping

Why Choose Cameron Hospital Chronic Care Management?

Chronic care management is about more than just alleviating long-term symptoms that may arise from a chronic condition, it is designed to provide each patient with a fully customized comprehensive plan while also ensuring all concerns of both the patient and the family are addressed.

At Cameron Hospital’s transitional care services, we understand the added stress multiple chronic medical conditions can add to a person. Our team is dedicated to providing each patient with the same high-quality, personalized care.

No two comprehensive care plans will be the same as no two patients are the same. Chronic care management is an additional resource available to those with chronic conditions to utilize for added support from medical professionals at Cameron Hospital without having to leave the comfort of your home. Contact Cameron Memorial Hospital today to learn more about our Chronic Care Management.

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