Connect
Reach out, listen to the patient and identify unfinished items in the care plan.
Chronic Care ManagementCurrent workflows
Keep the whole care plan moving.
Regular contact and practical coordination for people living with multiple chronic conditions.
CCM
Ongoing care
AMANA HEALTH COLLECTIVE
The practical output
A documented follow-up record and the next action owner.
- Software · Current workflows
- Care workflows, time tracking, questionnaires and reports.
- Navigation support
- Ongoing outreach and coordination.
- Before launch
- Clinical plan, consent, supervision and escalation responsibilities.
Who it helps
Chronic Care Management in practice.
Patients whose ongoing needs span conditions, medications, appointments and more than one care team.
Coordinate
Help arrange follow-up, route medication questions and work through practical barriers.
Close the loop
Document activity, share concerns and keep the next contact visible.
Clear responsibilitiesConnected work.
Your clinical team Amana support
Connected work.
Defined clinical roles.
Clinical direction.
Confirms the care plan, directs clinical services and responds to escalated concerns.
Practical follow-through.
Supports outreach, coordination and documented follow-through within the agreed care plan.
The engagement defines staffing, supervision, service availability and responsibilities before work begins. Navigators work within the care plan. Diagnosis, prescribing and treatment changes stay with qualified clinicians.
The software connectionGive the work
Give the work
a shared home.
Navigator workflows, care tasks, time tracking, CCM questionnaire templates and monthly reports keep the work organized.
Explore the Amana platformWhat we clarify before launch.
- Patient population and care-plan ownership
- Consent and patient introduction
- Clinical escalation and documentation process
Explore related support
Care needs connect.
Explore adjacent programs. We review clinical fit and service requirements when programs are combined.
Let’s shape your CCM workflow.
We’ll review the patient population, clinical responsibilities and support your team needs.