Helping you stay on top of it all

Having trouble finding a specialist or scheduling a follow-up visit with one of your doctors/clinicians?

Your Care Coordinator can help! Have a question about one of your prescription medications?

Ask your Care Coordinator! Expecting imaging or lab results and want to make sure reports get to each doctor/ clinician involved in your care? You guessed it … your Care Coordinator can help with that, too!

A Care Coordinator, usually a registered nurse or licensed social worker, partners with you and your health care team to help organize every aspect of your care plan, especially if you are being treated for one or more chronic conditions, such as congestive heart failure, COPD, diabetes or high blood pressure.

You may also hear from your Care Coordinator when it’s time to schedule your Annual Wellness Visit or recommended screenings, such as a colonoscopy or mammogram, or if your doctor/clinician wants to tweak your care plan a bit because of changes in your blood pressure, A1-C level or weight. There is no cost to you to work with a Care Coordinator. But there sure are lots of benefits!

Ready to start thinking about Advance Care Planning, or need information about palliative care, hospice, assisted living options or getting more help in the home? Your Care Coordinator can connect you with resources to help.

5 ways a Care Coordinator can help you stay on your

Game

You have questions about a new medication.

You’ve noticed changes in your appetite, energy level or sleep patterns.

You need help scheduling a visit with a specialist or a follow-up appointment.

You need help understanding a test result.

You’re going through changes at home, such as illness of a spouse or financial worries.

Your Care Coordinator is here to

 Listen  and get to know how your health care team can best meet your unique needs.

 Teach  you about your chronic condition(s), your care plan and steps you need to take at home to Be Well. Stay Well.

 Guide  you through the health care system, from scheduling and tracking appointments to helping you understand test results and insurance coverage.

 Review  your medications to make sure you are taking them as prescribed and look out for side effects or potential interactions.

 Advocate  for you by making sure all of your doctors/ clinicians have the same information, are talking to one another and respecting your wishes.

 Connect  you to community resources for needed support.

How a Care Coordinator made a difference

Patient’s A1-C blood sugar levels were too high. (rose from 7.5 to 10.5)

Care Coordinator discovered that the patient was having trouble reading the screen on her glucose monitor.

Care Coordinator alerted the patient’s health care team, who came up with a new care plan that was easier for the patient to follow.

Care Coordinator arranged for a nurse to visit the patient at home to teach her how to count dial clicks on a new glucose monitoring sensor and use a magnifying reader to dial the appropriate dose of insulin.

Care Coordinator set up biweekly telephone check-ins to monitor the patient’s A1-C readings.

Success!

The personalized care plan helped lower this patient’s A1-C readings to 7.1 in just four months, and the Care Coordinator continues to help her make even more progress.

Chronic conditions?

CareVio® has you covered!

From tracking down lab work, to support with life’s challenges that get in the way of your good health, to making sure that every member of your health care team is up-todate with how you’re doing, CareVio is another great benefit of your Primary Care Team’s partnership with eBrightHealth ACO.

Don’t go it alone!

When you get a call from 302-320-5600, be sure to pick up.

It’s your CareVio Care Coordinator, calling with helpful information. Have questions? Call this same number.

*CareVio is ChristianaCare’s care coordination service. Your doctor/clinician may work with a Care Coordinator from Bayhealth or a community practice, or even have their own Care Coordinator on staff. They all do the same important job, so be sure to take advantage of this value-added service.

Care Coordinators make the difference! Find all the ways your Care Coordinator helps you get all of the support you need to Be Well. Stay Well.

Have you scheduled your Annual Wellness Visit yet for 2023?

It takes a village to BeWell.StayWell.

The best care plan in the world won’t work if life challenges keep you from following your doctor’s or clinician’s instructions. Are you struggling with anxiety or depression that makes it hard to leave the house? Have you missed medical appointments because you couldn’t find a ride? Do money worries make you choose between filling prescriptions or buying groceries? Your Care Coordinator can connect you with community resources that can help.

Want to know more about ACOs?

Or if this is your first issue of Be Well. Stay Well. At Home, spring on over to eBrightHealthACO.org to learn more about the benefits of being part of an ACO or email us at info@ebhaco.org.

This important yearly visit with your Primary Care Team lets you create a personalized, ongoing and informed wellness prevention plan and make sure your health record is complete and up-to-date.