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Health disparities across the Black Belt Region are significantly higher than the state health data. RHMPI provides a variety of health care services to monitor and management our patients with Chronic Diseases. All patients that have been diagnosed with chronic disease are assigned Chronic Care Management Coaches that provide monthly care calls monitoring their overall wellness between regular routine medical visits. Chronic Care Management (CCM) is defined as the non-face-to-face service provided to Medicare beneficiaries who have two or more chronic conditions.
Chronic conditions consist of but are not limited to the following.
- Cardiovascular Disease
In addition to office visits and other face-to- face encounters CCM services include communication with the patient and other treating health professionals for care coordination via telephone, medication management, healthcare assessment, preventative care, dietary/exercise management and having access to health provider/and or staff 24 hours a day. Contact a member of our Patient Care Coordinators (PCCs) to assist with eligibility and next steps to become a member of our patient Chronic Care Management network today by calling (844) 736-7629.
We understand that life is not predictable and the unthinkable happens at the worst possible time. It is our primary goal here at RHMPI to eliminate barriers such as transportation from preventing our patients from receiving quality affordable medical care. — Yolonda Patterson, Chronic Care Coordinator, R.N.