Chronic Care Management | Care Coordination | Care Management
Improving Patient Outcomes With Chronic Care Management
In rural south Texas, managing chronic conditions like diabetes, hypertension, and hyperlipidemia presents significant challenges for patients. To address this chronic disease burden, 2-G Consulting Healthcare Solutions partners with physician practices to deliver care management services throughout these underserved communities. Their work ensures sustained, coordinated care for those in need.
About 2-G Consulting
2-G Consulting Healthcare Solutions provides care management services to physician practices and patients across rural communities in south-central Texas. Founded in 2021 by Misti and Ben Guenther, 2-G has grown to provide services to 22 healthcare providers and over 3,000 patients. 2-G uses the Medicare programs Chronic Care Management (CCM), Principal Care Management (PCM), and Remote Patient Monitoring (RPM) to address the chronic diseases prevalent in their patient population.
Rural communities served by 2-G face several challenges, including limited access to emergency medical facilities, transportation barriers, and gaps in health literacy among patients.
2-G Consultings mission is to bridge the gap in healthcare to prevent unnecessary hospitalizations or ER visits and reduce medical costs for the patients they serve.
Improving Patient Outcomes With Care Coordination
2-G Consulting utilizes ThoroughCare's care coordination software to streamline the care management of their patient population. Using ThoroughCare, 2-G developed a comprehensive approach to addressing chronic conditions. This included stronger patient engagement and achieving measurable improvements in health outcomes for their underserved rural populations.
To make the most of patient interactions, 2-G's care managers use ThoroughCare for:
- Guided, personalized care plans
- Clinical content
- Patient education
- Simplified workflows
- Remote monitoring
Educating Patients On Chronic Conditions
Utilizing ThoroughCare's integration with WebMD Ignite, 2-G is able to email patients evidence-based articles and videos to educate them about their conditions.
"The health education materials are created in such a way that patients understand. It gives us also broad topics to talk about and reiterate with patients," Yolanda Lopez, a Clinical Lead for 2-G Consulting, says.
Engagement with the educational material can be tracked to conduct a personalized follow-up.
Reducing Hospitalizations and ER Visits
Before being enrolled in care management, many patients' first course of action for medical care was to go to the emergency room.
2-G Consulting reduces ER visits and medical costs through identifying barriers within a patient's care plan and addressing them through care manager interventions. Common identified barriers include:
- Knowledge deficit related to disease process, management, and self monitoring
- Knowledge deficit related to when to call the doctor vs when to seek emergency care
"When you set up a program and when you make it as user-friendly as ThoroughCare is, does it then meet the needs of the rural population? Absolutely! Because it's front and center of their health care," Yolanda says. "It's not about just coming to the doctor because they have an acute problem. It's about taking care of the chronic condition. And that's something that ThoroughCare helps us with quite a bit."