Software readiness and setup needs vary by program. Compare the current workflows, shared tools and care-service requirements below. CoCM requires specialist arrangements; MTM is coordination support.
↳CCM monthly questions and behavioral-screening templates, in the same workspace.
The handoff matters
See how care moves forward.
A reading alone is not a complete picture. The value comes from the contact, context and clinical follow-through around it.
Follow the work between visits
An illustrative journey with Amana care services. With software only, your team fills these roles.
CCMRPMTCM handoff
01 / Connect
A care plan becomes a working relationship.
A fictional patient receiving heart-failure care joins an agreed monitoring and follow-up workflow. The team confirms roles and how to reach the patient.
CLINIC + CARE TEAMAgree on the plan and the handoff.
The clinician sets the care plan. The navigator supports introduction, enrollment and the practical next steps.
ClinicNavigator ↗
02 / Monitor
Home readings join the care conversation.
The care team reviews incoming monitoring information alongside the patient’s follow-up work. Participation is part of the picture.
MONITORING WORKFLOWSee readings and device participation.
Amana brings monitoring, RPM alerts and adherence views into the operational workspace. Staff review according to the agreed protocol.
Home readingsCare team ↗
03 / Notice a gap
An absent reading is a reason to check in.
In this example, expected monitoring information is missing. The team follows its workflow to understand the gap, without assuming what it means clinically.
NAVIGATORConnect with the patient.
A technical problem, a missed routine and a clinical concern need different follow-up. The navigator records what the patient reports.
Monitoring viewOutreach ↗
04 / Coordinate
The conversation becomes documented follow-up.
The navigator documents the contact, coordinates an outstanding appointment and identifies a concern requiring clinical review.
CARE COORDINATIONKeep the task and its owner visible.
Tasks, scheduling and notes support the handoff. Navigators work within their role and do not make independent treatment decisions.
NavigatorAssigned task ↗
05 / RN review
Clinical concerns reach the right person.
The RN reviews the reported concern and follows the clinic’s escalation process. The treating clinician retains treatment decisions.
CLINICAL OVERSIGHTHuman review guides the response.
The RN reviews the concern within nursing scope and follows the clinic’s route to the treating team.
RNTreating team ↗
06 / Follow through
The work comes back into view.
The team follows up on open items and reviews documented activity in reports. If a discharge occurs, a separate transition-care workflow can support the handoff.
PROGRAM REVIEWSee activity and remaining needs.
Time tracking and program reports bring documented activity into the clinic’s monthly review.
Care activityProgram review ↗
Fictional workflow. No actual patient data, treatment advice or outcome claim.
Illustrative care scene. Not an actual patient or Amana team member.
A person to reach out. A team to carry the next step.
Care services
More support around your patients.
Patient outreach. Appointment coordination. Practical barriers. Ongoing follow-up. Amana’s care services support the work that keeps a care plan moving.
Care navigators work with RN oversight and a defined route for clinical escalation. Your clinicians continue to direct diagnosis, prescribing and treatment.
