Chronic Care Management for Assisted Living Facilities

Phoenix Medical manages care for patients with two or more chronic illnesses to improve patient health outcomes.

Chronic Care Management helps Assisted Living Facilities protect patients, meet their health needs, and achieve better health outcomes. It aims to help the patient and family members to understand their condition, so they are prepared for most situations and can live their lives as freely as possible.

How chronic care management helps patients

Historically, the required coordination between the different treatment providers in conjunction with the patient has been difficult to achieve, and treatments tend to be hard to follow.

As a result, patients with several chronic diseases often cannot complete their treatments, which worsens their health.

At Phoenix Medical Centers, we provide a complete service for chronic care management, where we put together a team of professionals and caregivers to work with the patient, family, and assisted living facility to control and improve the patient's condition.

Chronic care management process

Stage One

At this stage, we screen to determine whether the patient truly needs chronic care management based on eligibility criteria. Patients generally need chronic care management if they have two or more chronic illnesses expected to last 12 months or longer and if the conditions put them at significant risk.

Stage Two

At this stage, we educate the patient and obtain consent to enroll them in the chronic care management program. We explain the stages of the process, the importance of communication, the need for support and motivation, and finally the importance of consistent follow through with therapies, treatments, and all their condition requirements.

Stage Three

We conduct a thorough assessment and medication review. We check for drug interactions and ensure that the patient's various medications work well together and that negative side effects are minimized. We provide a carefully detailed care plan, and every person involved must have access to it. It is a complete plan of care for all health issues, paying the most attention to the chronic conditions.

Stage Four

After a care plan is in place, we keep track of the progress and give the patient complete access to our specialist and nurse team through a team member. This also allows us to stay in touch and be available at all hours every day for any consultation or to schedule appointments, keeping a continuation of the service.

Stage Five

At this stage, we monitor and assess to ensure that the patient's needs are being met. We continue to mange the patient's conditions, maintain documentation, and manage any transitions between facilities and providers to ensure continuity of care.

Our Healthcare Services

In-Office

Assisted Living

Why Us?

Phoenix Medical Centers delivers world-class care at your convenience. We provide comprehensive primary care and lab testing in our office or on-site at your Tampa Assisted Living Facility. Our outstanding medical team, in-house lab, flexible scheduling, central location, and transportation service make it easy for you to get the quality care you need.

Transportation Available

Phoenix Medical Centers offers Medicare patients convenient transportation to and from our facilities. We can accommodate people with special needs or disabilities.

24/7 On Call Assistance

At Phoenix Medical Centers, availability and fast response are our hallmarks. For non-emergency care, you can call us 24 hours a day, 7 days a week.

Bilingual Doctors & Staff

Phoenix Medical Centers works to eliminate language barriers. Our doctors, nurses, and other staff are sensitive to speakers of other languages and most are fluent in Spanish and English.

Comprehensive Healthcare Services

Phoenix Medical Centers is your one-stop primary care solution, offering comprehensive care in our office or on-site at your assisted living facility.

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Multiple Insurances

We accept 5 of the major traditional Medicare insurances, including Aetna and Wellcare. We also accept major commercial insurance services, including Cigna and others.

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20+ Years of Experience

At Phoenix Medical Centers, our award-winning, board-certified doctors and licensed staff have decades of experience. You can rest assured that you are getting the best possible care.

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Phoenix Medical Centers doctor caring for a patient

Contact Us

Phoenix Medical Centers provides everything our patients need to help them improve their quality of life. Feel free to visit our office during business hours at 3645 W. Waters Ave. Tampa, FL 33614

Call us (813) 462-2595 Get in touch with us