What is Chronic Care Management?
Chronic Care Management (CCM) is the series of actions taken by health care professionals and clinicians in order to improve the lives of patients with chronic disease or health conditions, including conditions such as Alzheimer’s disease, asthma, cancer, cardiovascular disease, COPD, depression, infectious diseases like HIV/AIDS, rheumatoid arthritis, and more. In the United States, about half of all adults suffer from at least one chronic health condition. Service elements of CCM involve structuring and recording a patient health plan in tune with their health information, managing transitions of care, plus coordinating and sharing patient health records throughout the practice. Many primary care and internal medicine specialists believe that remote patient monitoring and efficient digital health systems could vastly improve the outcomes of CCM for patients.