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Chronic Care Management

Chronic Care Management coordinates care under a single healthcare provider and involves a whole team of resources to encourage and provide needed assistance

Patients must be enrolled in Medicare and have two or more chronic diseases that, if not managed, would lead to a significant decline in their health and have a primary care provider that practices at a CCMG Clinic. The patient develops their own plan of care with goals they wish to attain.

Conditions We Service

  • Alzheimer's Disease
  • Dementia
  • Arthritis
  • Asthma
  • Atrial Fibrillation
  • Autism Spectrum Disorders
  • Cancer
  • Cardiovascular Disease
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Depression
  • Diabetes
  • Hypertension (high blood pressure)
  • Infectious Diseases such as HIV/AIDS
  • Lupus
  • Multiple Sclerosis
  • Sleep Apnea

Community EMS

Campbell County Health EMS is proud to be able to provide another line of service for the hospital and the community. EMS will now be utilizing Community EMS providers to assist with filling gaps in Community Healthcare. These visits will be non-emergency visits that are not dispatched through the 911 system.

List of Services

  • Home Safety Evaluation
  • Plan of Care Development
  • Medication review and management (including med box refills)
  • Follow-up from office visits or ER visits - Ensure that patient is following discharge instructions and answering any questions they may have
  • Disease Process Education
  • Evaluation for referral to other Community Services
  • Home Vital Sign monitoring and transmitting

Contact Us

Phone: 307-688-3670
Fax 307-688-5074.

The Centers for Medicare & Medicaid Services (CMS) recognizes Chronic Care Management (CCM) as a critical component of primary care that contributes to better health and care for individuals.

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