Maryland’s Health Matters - Upper Chesapeake - Fall 2016 - 5

continued care you need, but also helps Comprehensive CARE Center Patient Example 1 establish open communication with your own health care team. The CARE 81-YEAR-OLD FEMALE Center is a mix of both medical care and relevant and coordinated social services available within our community. When these resources are combined, ■ Insured by Medicare. we are able to achieve better health and better care for the community. ■ Had a primary care physician. ■ Admitted to the hospital for a week in January and transferred to subacute (less intensive) rehabilitation. CARE CENTER SERVICES: ■ Deliver care coordination to those who frequently use the emergency department or have repeat hospital visits. We also help to explain the diagnosis and how to best manage treatment. ■ Connect you back to your primary care provider and ■ Came back to the emergency department shortly after and was then referred to the Comprehensive CARE Center. ■ CARE Center noted confusion over her medications and an overwhelmed husband. ■ CARE Center did medication reconciliation, set up home health referrals for nursing and physical therapy, and helped secure medicines previously not taken due to lack of finances. ■ Care was also coordinated between patient's primary care physician and home health services. ■ The patient's health and stressful situation is currently improving. specialists. ■ Collaborate with your primary Comprehensive CARE Center Patient Example 2 care provider and specialists for your future plan of care and primary care practices that 57-YEAR-OLD MALE have patients with complicated ■ Had 11 emergency department visits provide a summary of your CARE visit. ■ Provide support services for care needs. and was admitted to the hospital six ■ Provide medication reconciliation (creating an accurate list of all medications you are taking), care planning and education regarding disease management. ■ Maintain contact with you and provide follow-up on outstanding medical tests, additional appointments and home visits when necessary. ■ Help find resources in the times in 2015. ■ Insured under the Affordable Care Act. ■ Vulnerable adult with underlying mental health issues as well as congestive heart failure, chronic obstructive pulmonary disease, high blood pressure and diabetes. ■ CARE Center helped with insurance, medication reconciliation, education, home health referrals and adult protective services that ultimately secured a place for him in a group home. ■ No emergency department visit since and now has a community care provider. THINKSTOCK (2) community for medical transportation, assistance with medications, or additional care, if needed. Services at the Comprehensive CARE Center are available through hospital and physician referrals only. Well chronic disease self-management program. Call 800-515-0044 to start your journey toward a healthier life. umuch.org | Fall 2016 5 http://www.umuch.org

Table of Contents for the Digital Edition of Maryland’s Health Matters - Upper Chesapeake - Fall 2016