Coordination and Planning

The challenges of chronically ill patients are numerous. We understand and will work with you to ensure consistency and coordination of care.

Our services include:

• Care planning and coordination for chronically ill patients
• Data collection
• Pain and Symptom Management, Medication Management, Social Determinants of Health, Social Work Assessment
• Patient and family/caregiver disease education and prognosis discussion; understanding of future care options such as hospice
• Care coordination with all providers and resources involved
• Updates on patients’ progress throughout the continuum of care
• Telemedicine Services
• Urgent Visits Available
• 24/7 Support