Every patient is unique, but comorbidities are common. ChronWell already helps many practices manage common digestive conditions like IBS, GERD, IBD, and Chronic Constipation under existing care management and remote monitoring codes. By combining new technologies with our proven medical specialty expertise we can offer you a profitable way to care for patients beyond the walls of the practice.
The ChronWell Digital Care Management program includes the development of a physician-approved Care Plan with monthly communication to patients and other treating health professionals for patients with 2 or more chronic conditions. The Care Navigator (PA, NP, MA) will work with patients remotely and will include:
The designated Care Navigator establishes, implements, revises, monitors and manages an electronic care plan that addresses the physical, mental, cognitive, psychosocial, functional, and environmental needs of the patient as well as maintains an inventory of resources and support that the patient needs. Chronic care management is an extension of the care delivered by the clinician (in the office or telemedicine) and also includes 24/7 access to a clinician. The physician will receive the patient's care plan and monthly updates as the patient works with the Care Navigator.