![]() Clinical nurses to help you and the team coordinate your care.Doctors and nurse practitioners who will provide your medical and mental health care.We also offer patient education, self-management support and equal access for all patients. Our team provides superior, evidence-based care to meet your needs and goals. To make an appointment or ask medical questions, please call us at (804) 254-3500. Through collaboration with a broad range of interprofessional staff of clinicians and administrators, we provide a comprehensive program of compassionate clinical care for adults of any age who have complex needs. Our geriatric continuing care program team offers a multidisciplinary program led by board-certified physicians and nurse practitioners who meet patients wherever they are, whether it be a nursing facility, the hospital or house calls. No matter how many inpatient, outpatient or home health services you need, we’ll make sure your care is well-coordinated and your various caregivers are kept well-informed. At VCU Health, our continuum integration services aim to provide smooth, seamless care from medical professionals who follow your progress from location to location. VCU Health’s dedication to research and innovation are evidenced by an unparalleled patient and provider experience at CAHM.Senior Services and Continuum IntegrationĪs you get older and your health needs change, there may be times when you need specialized care at different facilities or from different providers. This unwavering focus on care design, implementation, and execution result in superior patient engagement and satisfaction. The agile and dexterous care design, along with the payer's data, analytics, and authority create a powerful mechanism for timely intervention and cost-containment opportunity. Behavioral health support is also an essential CAHM function, and it is well-integrated into the care paradigm, along with Pharmacy consultation, Social Work and Nurse Case Management.ĬAHM is also innovative in its payer-partnership approach, where high risk, high cost beneficiaries are targeted by the payer for a more comprehensive, and tailored health home. ![]() The teams provide a holistic continuum of care, with the ability to follow patients across time and across settings, including ambulatory, hospital, home, and nursing home.
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