Chronic care management that reads the patient's data before every call.
Most chronic care management runs on a script: a routine monthly call, a fixed set of questions, and a note confirming the call took place. BridgeCare LA runs its CCM program on a different premise.
Every credentialed specialist on the team — pharmacy technicians, certified diabetes educators, registered dietitian nutritionists — works from data organized by SYNC-PREVENT™. Ahead of each call, the coordinator reviews that patient's most recent labs, device readings, and medication changes, then focuses the conversation on what's changed since the last contact.
specialist disciplines coordinated per patient
What lands on the physician's desk, in turn, is a clinical signal — already surfaced, already put in context, already worth a look.
A new prescription is watched for early side effects before it turns into a complication. A string of overnight glucose lows in the Dexcom reports gets raised with the physician while it is still correctable. A few pounds of fluid weight is dealt with well before it would have meant an admission.
It comes down to one thing: whether the person placing the call already knows what this patient's own data is trying to say before they dial. That is the operating principle behind every BridgeCare LA program.
Deploy this program across Louisiana.
Talk to BridgeCare LA about bringing Specialized Care CCM to your practice or health system.
Book a Consultation