Chronic Care Management


Our providers are highly trained in chronic disease management and helping patients control their health problems that could become worse if not given the proper care. With early intervention to control chronic disease can help you feel better and improve your overall health. Please let your physician know if you suffer from any of the following chronic health conditions. Once you are diagnosed, our providers will help you develop a comprehensive plan to improve your health and prevent complications.

What are chronic diseases examples?

Examples of chronic illnesses are:

  • Alzheimer disease and dementia
  • Diabetes
  • Arthritis.
  • Hypertension
  • Heart disease
  • Congestive heart failure
  • COPD
  • And more…….

What is the purpose of chronic care management?

The overarching goal of chronic care management is to help patients achieve a better quality of life through continuous care and management of their conditions. In a chronic care management program patient has been provided personal care of their chronic conditions in between the visits. This helps patients to reduce the complication from their disease and stay in best of the health. Patient might have reduced pain and stress, increased mobility and physical fitness, and better sleep and relaxation.

What is provided to the patients in Chronic care management program?

● Provide 24-hour-a-day, 7-day-a-week (24/7) access to physicians or other qualified health care professionals or clinical staff, including providing patients (and caregivers as appropriate) with a means to make contact with health care professionals in the practice to address urgent needs regardless of the time of day or day of week

● Ensure continuity of care with a designated member of the care team with whom the patient can schedule successive routine appointments

● Provide enhanced opportunities for the patient and any caregiver to communicate with the practitioner regarding the patient’s care by telephone and also through secure messaging, secure Internet, or other asynchronous non-face-to-face consultation methods (for example, email or secure electronic patient portal)

How does our office provide chronic care management?

Our office has healthcare team comprised of Physicians, Nurse practitioner, Doctor of Pharmacy and Nurses, that takes care of your chronic disease, detailed medication evaluation, healthcare goals and comprehensive plan. Our team will provide service for your healthcare needs while you are not in the office. Initial consultation is scheduled with the Doctor of pharmacy to generate/modify care plan and medication review.

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8:00 am-6:00 pm


8:15 am-5:00 pm


8:15 am-5:00 pm


8:15 am-5:00 pm


8:15 am-5:00 pm






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