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Learning Center

Insights on care coordination and value-based care.

Kathryn Anderton, BSN, RN, BC-RN, CCM

Vice President of Clinical Operations, ThoroughCare

Social Determinants of Health

According to the Centers for Medicare & Medicaid Services (CMS), research shows that 5.8 million people in the US do not receive medical care each year due to transportation issues. More recent research from 2022 found that 21% of adults without a vehicle or public transportation went without needed medical care.

Advance Care Planning

Studies show that nearly 75% of people will need help making medical decisions. Less than 25% have formally documented their end-of-life care wishes.

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Social Determinants of Health | Care Management

ThoroughCare's clinical team recently hosted a webinar, “The Impacts of Social Determinants of Health (SDOH) on Patient Care and Outcomes.” They were joined by Dr. Maya Bell, PharmD, MBA, Director of Clinical Services at PharmaClin.

Chronic Care Management | Patient Engagement

By: Kathryn Anderton, BSN, RN, BC-RN, CCM
September 12th, 2023

Engaging patients has become more of a focal point for healthcare. Motivated people tend to believe in their ability to improve or maintain their quality of life.

Care Coordination | Patient Engagement | Care Management

Comprehensive care coordination provides professional support to patients, helping them navigate healthcare and manage their health better. To that end, research on SMART goals has demonstrated its value toward patients creating healthier habits and achieving better health outcomes. When combined with motivational interviewing techniques, SMART goals establish clear, internally-motivating, and measurable goals that align with what’s most important to each individual.

Care Coordination | Patient Engagement | Care Management

As a nurse or clinician, creating and updating a care plan is crucial to effectively coordinating patient services and interventions, and overseeing medication management.