Chronic Care Management

Chronic Care Management –  by Enable Healthcare

Stockton Cardiology has a remote care service called Chronic Care Management for eligible patients who need extra help managing their health. The purpose is to prevent you from being hospitalized, by enabling your cardiologist to have more control over your well-being. This program provided by Enable Healthcare in coordination with your cardiologist.

Chronic Care Management helps you stay healthy from the comfort of your home.

Letter to Identified Patients

If you have received a letter from Stockton Cardiology stating that you have been identified as eligible to receive this program, but want to know more, call the nurses at Enable Healthcare at 209-299-1679 for enrollment information.

If you no longer have the eligible patient letter sent to you, here is a copy.

For more information, visit the information page: Chronic Care Management page at Enable Patient Care (ehiehr.com).

What is the CMS Chronic Care Management program?

The program is designed to help you maintain a healthy lifestyle, stay on top of refills and appointments, and address general questions and concerns monthly. The goal of the program is to prevent you from being hospitalized by enabling your provider to have more control over your well-being. We strive to improve patients’ quality of life.

Who is the program for?

The CCM program is for anyone with two or more chronic conditions. These chronic conditions include, but are not limited to, hypertension, diabetes, arthritis, COPD and dementia. Best of all, this program is covered by your insurance!

How Chronic Care Management Works

  1. Identify Your Eligibility – Based on your medical history we will verify if you’re eligible for the CCM program.
  2. Getting You Enrolled – Our CCM nurses and your cardiologist’s office will give you info on how you can start the CCM program.
  3. Review Care Plan – Your cardiologist will give you a personalized care plan based on your medical history, which is shared with our nurses.
  4. Monthly Nurse Calls – Our CCM Nurses will reach out to you at least once a month to perform health checks. 
  5. 24/7 Nurse Access – You have the ability to call our CCM Nurse Hotline to address any of your healthcare needs.

Why sign up?

The CCM program allows your Doctor to provide you with the best care possible. With frequent screenings done by our Coordination Team, you can remain healthy!

Enable Health’s CCM tele-nurses have a track record of clinically proven results, effectively reducing ER visits and bridging critical gaps in care. 

Depending on your condition and treatment plan, your doctor may be able to meet with you remotely by phone or video. If you prefer a Telehealth appointment, ask our office staff to check whether it is possible.

Read about different methods of remote heart monitoring which is used to diagnose heart conditions when there are symptoms of irregular heart beats.

Meet with a cardiac therapist remotely face-to-face as they guide you through improving your health through exercise, nutrition, and more.

Remote blood pressure monitoring enables your doctor to monitor your health while you are at home, through use of a monitor device and frequent communication with nurses. Learn more…

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