Bridges Health Partners’ patient-centered care management team is dedicated to helping our partners deliver on the “Quadruple Aim” in evidenced-based care management by:
- Taking a population health approach
- Utilizing advanced analytics to identify and stratify patients
- Delivering holistic care management to identified populations
- Providing a multi-pronged approach to patient engagement
- Empowering patients with support and education to manage chronic conditions
- Managing patients along the continuum of care
- Educating patients regarding preventive care
- Seamlessly integrating within inpatient and outpatient care teams
- Developing best practices of care pathways to increase efficiency and decrease variability in care delivery
- Creating a repository of resources to help address impediments to Social Determinants of Health (SDOH)
- Utilizing innovative high-tech tools for high-touch care