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Coordinated Care Model


Helping Patients Get the Right Care at the Right Time in the Right Place

HealthCare Partners was founded on the belief that a Coordinated Care Model creates the best patient outcomes. Healthcare in the United States is not often coordinated. In fact, a patient seeking care for a complex disease often ends up seeing a series of specialists and receiving a series of medical and hospital services with little, if any, coordination among the providers.

Fortunately, alternatives to this fragmented healthcare delivery system exist, and HealthCare Partners has been a pioneer in this area. Since the mid-1970s, HealthCare Partners and its predecessors have developed models of delivering coordinated care, with a primary care physician at the center. We provide quality healthcare and positive patient experiences for an ever-growing number of communities, while holding back escalating healthcare costs through greater efficiency.

When providers work together to coordinate a patient's care, the result can be happier, healthier patients, faster recovery by those who are ill or hospitalized, and improved quality of life for those with serious and chronic conditions.

HealthCare Partners offers care for all ages and health stages:

Self-Management and Health Education Programs

Provides self-management for people with chronic disease and prevention services.

Complex Care and Disease Management

Provides long-term, whole-person care enhancement for patients with diabetes, COPD, CHF, CKD, depression, dementia, cancer, and organ transplant, using a multidisciplinary team approach.

High Risk Clinics and Care Management

Provides intensive one-on-one physician/nurse-patient care and case management for the highest risk, most complex patients, using highly trained physicians and care managers who are closely integrated into community resources, physician offices, and/or clinics.

Home Care Management

Provides in-home medical and palliative care management for frail and homebound patients who have physical, mental, social, and financial limitations, using specialized physicians, nurse care managers, and social workers.