Our Services

Pharmacist will schedule and complete all necessary components of the AWV based on the practice needs, including the health risk assessment, medical and family history, cognitive screening, depression screening, functional ability assessment, and other necessary add-on services.

Pharmacist will remotely work with the patient to create and carry out a comprehensive care plan for patients with two or more chronic conditions. This plan includes the patient’s primary medical conditions, medications, comorbid conditions, coordination with pharmacy, and all other pertinent information.

Pharmacist will enroll and remotely monitor eligible patients for conditions requiring medical devices such as blood pressure cuffs, glucometers, pulse oximeters, and scales. This includes provision and training of pertinent technology and equipment.

Pharmacist will remotely work with patient to create and carry out a collaborative care plan for patients with behavioral health needs. This includes primary care coordination for patients not currently under the care of a psychiatrist, as well as collaborative care medicine between our care manager and the patient's psychiatrist in order to provide the highest level of comprehensive care.

Pharmacist will remotely work with the patient to create and carry out a comprehensive care plan for patients with a single high-risk, complex chronic condition that requires ongoing medical management. Similar to CCM, this plan includes the patient’s "principal condition", medications, comorbid conditions, coordination with pharmacy, and all other pertinent information.

Pharmacist will remotely work with patient with one or more chronic disease states to create and carry our a care plan focused on preventative care. Similar to CCM, this plan will include several components of primary care medicine and medical coordination in order to reduce fragmentation of care and improve population health outcomes.

Typically completed during the AWV, pharmacist will discuss and document future medical decision making with the patient and family members (if desired) in order to assist patients in making informed personal decisions for future medical care and completing necessary documentation and paperwork.

By utilizing our services, your practice will benefit from immediate impacts on patient care and population health measures as well as long-term impacts on meeting CMS quality measures.

Pharmacist will remotely connect with patient within two business days of discharge, obtain necessary information, complete a thorough medication reconciliation, and assist in scheduling a face-to-face physician visit within the appropriate time frame depending on complexity. Information is provided to physician prior to the face-to-face visit.