Coached Self Care – Physician

Coached Self-Care^TM

Healthier patients have fewer acute situations

Integrate Coached Self-Care^TM into Your Practice

Coached Self-Care is a suite of services that helps the physician address the needs of the whole patient between office visits, keeping seniors with chronic conditions out of the hospital and independent.

Coached Self-Care^TM

Keeping Your Patients Healthier Between Appointments

When you partner with Carefree, your patient receives the benefits of comprehensive and integrated care provided by a dedicated local nurse coach. Our coaches are nurse practitioners and physician assistants who develop and implement personalized care plans with your direction. They build lasting relationships with patients through frequent telephone calls.

Our mail order geriatric pharmacy is devoted to the care of complex patients and provides prescriptions in dose-time packaging to ensure adherence. When necessary, we also provide remote monitoring devices to track key health indicators and identify situations that require real-time intervention.

Coached Self Care ensures your patient gets the best care possible between visits with you.

Local Coaches

Experienced geriatric nurse-coaches local to the patient extend care beyond your office. Coordinated communication keeps the patient on the plan you approved and updates your EMR so you continue to work in the way you are comfortable.

Geriatric Pharmacy

Medication adherence is critical in the management of chronic conditions. Carefree pharmacists exclusively work with seniors with chronic conditions. We simplify the process with home delivered dose time packaging.

Monitoring & Recording Vitals

If you request, Carefree can provide different monitoring options to help keep track of key health indicators. This monitoring can provide early warning of emergent situations and enable intervention before situations deteriorate.

Geriatric Care Platform

The foundation of Coached Self-Care is our geriatric care platform. It combines a clinical knowledge base, a patient expert system and communication tools that help our coaches focus on the right activities to help each patient achieve their health goals.

Local Personal Coaches

Helping Your Patient Achieve Your Goals

Our nurse-coaches are LPs and PAs specializing in geriatric care. As an extension of your practice, they are responsible for helping your patients achieve the goals you define for each patient through frequent phone calls. They use their knowledge and exclusive Carefree systems to provide guidance and care to keep your patients healthy between visits.

Carefree coaches motivate and encourage your patients to follow their care plan and achieve their health goals, providing support and education that make success more likely than your patient doing it on their own.

Our coaches coordinate care and provide extensive communication with the other members of the care team.

By ensuring that contacts with your patients are appropriately documented and that key health indicators are recorded, your ability to diagnose and treat the patient is enhanced. This coordination of care improves outcomes because everyone is working from the best, most up-to-date information.

Let our trained coaches extend your reach and execute your care plans to keep your patients healthier between office visits.

Pharmacy Services

Maintaining Adherence to Keep Patients Healthier

For patients with multiple chronic conditions, taking medications as prescribed is usually the largest single determinant in maintaining good health. Carefree’s pharmacy services are designed to ensure adherence.

Carefree’s mail order pharmacy is dedicated to seniors with chronic conditions. Patient and caregiver’s lives are simplified when all meds are delivered in dose time packaging. This eliminates both the need to sort medications manually and attendant errors. Our pharmacists are experts in the field of geriatric pharmacology. We’re available for patient discussions on medication efficacy and side effects, and we notify your office in the event that changes to the patients drug regimen are indicated.

Our nurse-coach reviews medication adherence with your patient, and helps identify any issues and barriers causing them.

During times of transition to and from the hospital, our nurse-coaches make certain that all parties are provided with the most up to date medication lists. Most importantly, we update your EMR when changes occur to ensure you always have the latest reconciled prescription list.

Carefree’s pharmacy services make certain that seniors get the full benefits from their medications.

Monitoring and Recording

More Comprehensive Information Enables Improved Diagnosis and Treatment

Monitoring and recording health indicators between office visits enables you to more accurately assess your patient’s progress and status for better care.

By monitoring key health indicators, your patient’s coach tracks the health progress, which allows you to make quicker adjustments to their care plan when needed.

Carefree provides all the hardware and software and helps the patient set up and use the system. Each of these solutions is designed to meet the patient at their clinical and technical ability level.

Geriatric Care Platform

Delivers Best Possible Patient Outcomes

Managing one chronic condition is difficult enough for patients. When presented with multiple goals and guidelines, patients with multiple conditions can quickly be overwhelmed. Carefree’s Geriatric Care Platform simplifies this problem by developing personal care plans with prioritized and manageable goals which will have the most impact in the near term.

Your personalized care plan for your patient is augmented with pharmacological and psychological information by our geriatric care platform. This detailed plan is then implemented by our coaches in measurable and achievable steps.

Your patient’s progress is tracked by the clinical knowledge base, and that progress is reported back to your practice and documented in your EMR by the platform’s communication tools. This ensures that you always have the most up to date status.

The geriatric care platform continuously updates the ‘next best goals’ based upon our patient expert system using the latest geriatric care research, so that coaches and patients are always working on those areas which have the greatest impact on health.

Carefree’s geriatric care platform ensures that patients are following a personalized care plan that is constantly updated based upon the best available information and current health status.