The Comprehensive Care Management Process at Mercy Health Systems

Speaker

Joseph Fojtik, MD, FACP, PCMH CCE

ABSTRACT

PCMH clinical teams need access to patients who have multiple chronic conditions outside of the traditional clinical encounter or office visit. A PCMH model of care dictates that the clinical team somehow interact with patients when they are not in the office- when the ''chart is on the rack''. The CCM process explained in this session will help educate on one facet of care that can do so.