Coordinated Care
Coordinated Care is described as an "ambulatory intensive care unit." This clinic is designed for patients with complex health problems that result in frequent hospitalization. We provide patient-centered, multidisciplinary, team-based care to reduce the impact of chronic illness on your life.
Services
Clinic services include walk-in access for new issues, close medical follow-up after hospitalization, regular oversight by clinic pharmacists through medication therapy management, and intensive attention to behavioral and social determinants of health. Clinic-based nurse coordinators and social workers team to organize and facilitate care within the health system as well as the community.
This clinic is available to patients by professional referral only. New patients to the clinic typically have three or more hospitalizations in the year preceding clinic enrollment.
Locations
