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What is Chronic Care Management?

At RemoteFocus, we understand that patients living with multiple chronic conditions require additional assistance beyond the scope of the medical practice. Our highly qualified staff and clinicians work with the patients to improve disease control, coordination of care, patient engagement and education and promote positive health outcomes. CCM allows for the patient to feel fully supported and connected to their healthcare professional.

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RemoteCare makes CCM easy for Home Care Agencies.

STEP 1

Identify Patients for Remote Patient Monitoring

  • Two Chronic Condition or more
  • Medicare Eligible – RF can do query!

Agency refers Patient to RF via JotForm or Patient Report

STEP 2

Agency or RF Contacts Patient

  • Education Patient /Aide on RPM
  • Get Patient Approval ( HIPAA)

STEP 3

RF Clinician Evaluates & Prescribes RPM

  • RF Clinician Creates CAREPLAN
  • RF Clinical staff defines the measurement ranges & assigns monitoring clinical pathways. ( 90+)

STEP 4

RF Delivers Device Directly to Patient

STEP 5

RF & Aide Assist Patient use of Device

STEP 6

Technology & Case Managers Monitor Patient

  • Monitor Patient
  • Automated Reminders/ Live Reminder Calls
  • Live Case Manager Coaching based on Care plan
  • Built in Alerts
  • Documented Communication
  • RF Provide Device Support

Why Consider Remote Focus as a Partner?

In an environment that is focusing more and more on clinical measurements and outcome, Remote focus is the perfect partner to help agencies address the new clinical requirements. RemoteFocus team grew inside the homecare market and understands the complexities of your agency to become a true partner.

Dive Into the Benefits of Remote Focus

Gap Visit Care

  • Increases patient compliance with recommended preventative care measures, such as Medication Adherence, Lifestyle & Nutrition choices.
  • Increases ability to catch new health concerns and complications faster and sooner.
  • Increases Agency’s compliance with quality measures.

Preventative Care

  • Increases patient compliance with recommended preventative care measures, such as Medication Adherence, Lifestyle & Nutrition choices.
  • Increases ability to catch new health concerns and complications faster and sooner.
  • Increases Agency’s compliance with quality measures.

Remote Care

  • Increases patient compliance with recommended preventative care measures, such as Medication Adherence, Lifestyle & Nutrition choices.
  • Increases ability to catch new health concerns and complications faster and sooner.
  • Increases Agency’s compliance with quality measures.

More Benefits Include:

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Deliver Better Clinical Outcomes

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Reduce hospitalization

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Increase Value based reimbursement

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Increase Patient Retention

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Increased Patient Satisfaction/Feedback

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DME Allocation

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Referrals

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Ad hoc Prescriptions

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Enhanced Clinical Patient Data

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Reduce Loneliness & Identify Depression

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Urgent Telehealth