Tahoe Forest Hospital launches care coordination program | SierraSun.com
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Tahoe Forest Hospital launches care coordination program

TRUCKEE, Calif. — Care Coordination at Tahoe Forest Hospital is a new program that helps people living with chronic conditions better manage their illness.

The Care Coordinator actively works one-on-one with patients with complex medical conditions, and their families, to teach self-management skills, improve communication between all health care providers, and connect with community resources.

The goal of the Care Coordinator is to help address the needs of the whole patient. Care Coordination has numerous benefits to people who live with chronic illness, including



Improved quality of life,

Improved coordination of care,



Improved self-management through shared decision-making,

Improved timing of appointments and tests; and

Helps identify and minimize barriers to care.

You may be referred to Care Coordination through your primary care provider, hospital staff, specialist or public health clinic. Families and caregivers may also directly refer a patient for Care Coordination services.

Tahoe Forest Health System offers two types of Care Coordination services: Chronic Care Management and Transitional Care Management.

Chronic Care Management, for those diagnosed with two or more chronic illnesses such as high blood pressure, diabetes, heart disease, arthritis, emphysema or depression, provides home visits, phone calls, e-mails and office visits.

The Care Coordinator works closely with your primary care provider and will often accompany you to your doctor visits. The primary aim is to offer support and provide education regarding self-management goals.

Transitional Care Management, for those who have been diagnosed with two or more chronic illnesses, have been hospitalized, and have identified a local primary care provider, assists people with chronic conditions smoothly transition from hospital to home. It starts in the hospital and continues for 30 days after discharge.

Care Coordination is a Medicare benefit. Patients may be responsible for a 20% co-pay (approximately $8) if you do not have secondary insurance.

For referral, call Jackie Griffin, RN, Care Coordinator, 530-582-3587 or email jgriffin@tfhd.com.

Care Coordination is a program of the Wellness Neighborhood, a Service a Tahoe Forest Health System.

This article was provided by Tahoe Forest Health System. Visit tfhd.com to learn more.


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