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CVRMC is a regional medical center with four Rural Health Clinics in the town of Globe, AZ. With a large population of retirees, many of which with multiple chronic conditions, the organization made a strategic decision to implement a care coordination program with a focus on Chronic Care Management for their Medicare population.
Hiring of a Registered Nurse to fill the position of Care Coordinator.
Reaching out to community resources and inviting them to be involved in the program.
Subscribing to Cross TX, a care coordination tracking and communication platform to manage the workflow.
Development of patient recruitment materials and resources.
Incorporation of Annual Wellness Visits to ensure patients are receiving all of the eligible services for health promotion.
After one year of implementation, the care coordinator has recruited over 200 patients into the program with revenues of nearly $120,000.
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