• What is Care Management & Why Do We Need it?

    Care managers are typically licensed nurses or social workers that work with patients to make healthcare more personalized, more accessible and more informative with improved outcomes. In simple terms, care management is the process by which patients are guided to receive the care they personally need. Let’s look further at the following questions: what is care management and why do we need it?

    What is Care Management?

    At CarpeVITA, the care management process has three stages:

    • What is Care ManagementCare Planning – This is where your care coordinator works with you to create a personalized care plan that serves as the foundation from which all of your care will stem and provides you with a roadmap to wellness. At CarpeVITA, we base that plan on the components of the CV4P™ approach (prediction, prevention, personalization and participation).
    • Care Coordination – In the coordination stage, your care coordinator helps execute your care plan and navigate the healthcare system. At CarpeVITA, that means coordinating your care points and notifying everyone in your Circle of Care.
    • Care Management – Your care coordinator then helps you manage your participation in your personalized care plan, helping to ensure you understand your plan and providing the guidance and accountability you need to follow through with the lifestyle and care practices that will lead to wellness.

    These services are necessary now because our current healthcare system is disjointed and is failing to produce the outcomes that will ensure a healthy America. Instead of healthy people being fostered to maintain their health, they are being left alone, while the chronically ill patients are consuming all of the healthcare industry’s time and the consumers’ money. Instead of focusing on keeping each individual healthy, the focus is on treating acute symptoms, and healthcare providers are rewarded for volume instead of quality.

    With care management, there are two areas of focus: keeping healthy people healthy and getting the chronically ill people back to their highest state of health. Through planning, coordination and management, patients and care coordinators can work together to accomplish personalized results that produce the best health outcomes at the best cost.

    Care Management for Chronic & Serious Illnesses

    For people who suffer from chronic and serious illnesses, your care coordinator can serve as your health coach, helping you to better understand your condition and make the lifestyle choices that will keep you as healthy as possible. She can help you manage your symptoms and learn about your medication(s) and their side effects. Your care coordinator is there to help you transition between hospital and home as needed and to help you get the additional help you need, such as nutrition programs, complementary services, community resources and support groups. With the help of your care coordinator, you will be able get the most out of your covered benefits and have all the resources you need available to you, your family and your healthcare providers.

    Care Management for Currently Healthy People

    Care managers are also valuable for people who are currently healthy. They will work with you to help you prevent chronic conditions from arising by guiding you to live the lifestyle habits that will keep you personally healthy. He’ll work with you to learn self-care skills and help you make evidence-based decisions about your health, while addressing everyday health concerns. You’ll work together to meet your personal health goals and prolong your quality of life and wellbeing.

    Everyone can benefit from care management services. To learn more, visit CVCareManagement.com.

     

    Photo Credit: Flickr, Steve Wilson

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