CCM
Chronic Care Management
Regular contact and practical coordination for people living with multiple chronic conditions.
Current workflowsExplore CCMPrograms & patient needsStart with the patient.
Start with the patient.
Find the right support.
Explore care-management and navigation programs by the work they support. Amana combines software and services around the clinical model your organization chooses.
Showing all 11 programs
Current workflows and templates are available today. Shared tools need program-specific setup. Implementation review and specialist setup identify additional work to scope. MTM provides coordination support.
PCM
Principal Care Management
Help patients follow through on the care surrounding one serious chronic condition.
Shared toolsExplore PCMAPCM
Advanced Primary Care Management
Coordinate the work that connects a patient’s primary care, specialists and everyday needs.
Shared toolsExplore APCMRPM
Remote Patient Monitoring
Connect home readings with the people responsible for reviewing and following up on them.
Current workflowsExplore RPMRTM
Remote Therapeutic Monitoring
Support follow-through around a prescribed therapy and the information patients report between visits.
Implementation reviewExplore RTMTCM
Transitional Care Management
Coordinate the contacts, appointments and open questions that follow a transition home.
Current workflowsExplore TCMBHI
Behavioral Health Integration
Keep behavioral-health follow-up connected with the patient’s broader medical care.
Current templatesExplore BHICoCM
Psychiatric Collaborative Care
Plan a structured connection between primary care, behavioral-health care management and psychiatric consultation.
Specialist setupExplore CoCMPIN
Principal Illness Navigation
Help patients manage the appointments, records and practical arrangements around a serious illness.
Shared toolsExplore PINCHI
Community Health Integration
Support the practical connections patients need when social barriers interfere with their medical care.
Shared toolsExplore CHIMTM
Medication Therapy Management
Help eligible patients reach their drug plan’s qualified MTM provider and follow through afterward.
Coordination supportExplore MTMProgram descriptions explain service scope, not individual eligibility or billing advice. Patient fit, personnel, supervision, overlapping services and payer requirements are reviewed before launch.
Plan with a clear viewWhat’s available.
What’s available.
What needs a plan.
Software capabilities and care-navigation services are different parts of the engagement. This guide shows the starting point for each program.
| Program | Software support | Navigation support | Before launch |
|---|---|---|---|
| CCM ↗Chronic Care Management | Current workflowsCare workflows, time tracking, questionnaires and reports. | Ongoing outreach and coordination. | Clinical plan, consent, supervision and escalation responsibilities. |
| PCM ↗Principal Care Management | Shared toolsTasks, notes, time tracking and reporting; confirm condition-specific configuration. | Condition-focused navigation. | Treating practitioner and condition-specific care plan. |
| APCM ↗Advanced Primary Care Management | Shared toolsCare-team dashboards, tasks and monthly reporting; program configuration is scoped. | Primary-care coordination. | Primary-care ownership, access and continuity arrangements. |
| RPM ↗Remote Patient Monitoring | Current workflowsMonitoring, RPM alerts, device adherence and program reports. | Onboarding and participation follow-up. | Device connection, clinical thresholds and review coverage. |
| RTM ↗Remote Therapeutic Monitoring | Implementation reviewShared tasks and documentation; RTM devices, data flows and reporting require confirmation. | Therapy engagement and coordination. | Prescribing practitioner, monitoring setup and confirmed RTM scope. |
| TCM ↗Transitional Care Management | Current workflowsTransition Care workflows and TCM reporting. | Discharge outreach and appointment coordination. | Discharge information and time-sensitive clinical follow-up ownership. |
| BHI ↗Behavioral Health Integration | Current templatesPHQ-9 and GAD-7 templates, tasks and documentation. | Engagement and behavioral-health coordination. | Qualified clinical assessment and safety escalation arrangements. |
| CoCM ↗Psychiatric Collaborative Care | Specialist setupDocumentation and coordination scope reviewed with the clinical model; registry needs require confirmation. | Navigation and operational support can be scoped. | Qualified care manager, psychiatric consultant and registry workflow. |
| PIN ↗Principal Illness Navigation | Shared toolsNavigator notes, tasks and scheduling; program-specific setup is reviewed. | Illness-specific navigation. | Trained personnel, supervision and the treating team’s plan. |
| CHI ↗Community Health Integration | Shared toolsTasks, notes and resource follow-up; CHI configuration is reviewed. | Resource connections and follow-through. | Care-related need, trained personnel and supervision. |
| MTM ↗Medication Therapy Management | Coordination supportNotes and tasks around a medication-review referral. | Connection to the drug plan’s qualified provider. | Plan eligibility and an available qualified MTM provider. |
“Shared tools” means general coordination features can support the work; it does not mean a dedicated program implementation is ready. Navigation services are agreed for each organization. Specialist services and program requirements must be in place before launch.
Not sure where to begin?Tell us where
Tell us where
care gets stuck.
A patient who needs regular outreach has a different need from one navigating a discharge or a complex referral. We’ll start with your patient population and the work you want to support.
Plan your programBring these to the conversation.
- The patient groups you serve
- The programs you run or want to introduce
- Your clinical team and available capacity
- Your EHR, monitoring and reporting needs
Build the right care program for your team.
Let’s talk about your patients, your workflows and the support you need.