网曝门事件

The Complex Care Management program at 网曝门事件 Health in the Central Valley has expanded with the help of a new partnership with Valley Children鈥檚 Healthcare, bringing the expertise of a multi-disciplinary team of healthcare workers to young patients with childhood onset conditions as they transition into adulthood.

For Debbie Young, the Complex Care Management program filled the gap in the medical care of her son, Michael. Born with a congenital heart defect, Michael has lived his entire life with multiple medical conditions requiring specialized care.

鈥淚t鈥檚 so nice to know you can go to one place where they can provide services so quickly,鈥� said Young. 鈥淭his is so needed in the valley.鈥�

The Complex Care Management program, formed in 2015, treats patients with two or more comorbidities who are at a higher risk of hospital readmissions and emergency department visits, while also simultaneously susceptible to inconsistent primary care. Patients are paired with a full-time provider, nurse, care coordinator, pharmacist and pastor who work together to improve the patient鈥檚 health.

鈥淏ecause of this collaborative team-based approach, we are better equipped to treat the patient鈥檚 conditions and help keep them out of the hospital,鈥� said Dr. Raul Ayala, medical officer for 网曝门事件 Health in the Central Valley and director of the Complex Care Management program.

Recently, 网曝门事件 Health developed a partnership with the Transition Clinic at Valley Children鈥檚 Hospital to expand the program. The Transition Clinic collaborates with Valley Children鈥檚 specialty care centers, supporting their chronically ill patients鈥� preparation, healthcare provider and many other needs that arise in the process.

鈥淩esearch shows that patients must establish with adult primary care to maximize their potential,鈥� said Dr. Patrick Burke, program director of Valley Children鈥檚 Transition Clinic. 鈥淐omplex Care provides a new option to meet this goal, whether it is a type 1 diabetic young man who never followed with a pediatrician or a profoundly disabled woman with cerebral palsy who has followed with Valley Children鈥檚 Charlie Mitchell Clinic for complex pediatric care. Through this collaboration, patients like these can seamlessly transition into the Complex Care Management program, where they will continue to receive specialized care into adulthood.鈥�

鈥淭his partnership is evidence of what we can accomplish through friendship and collaboration between two healthcare organizations,鈥� said Dr. Ayala. 鈥淚t truly is a blessing to work with others and care for at-risk patients who need our help the most.鈥�

Michael, now 33, is one of more than 20 patients who has transitioned care from pediatric primary care to the fully staffed Complex Care Management program based in Hanford and Selma. Before the transition, patients and their families meet their new care team, are provided with instructions on what to expect moving forward and are scheduled monthly check-ins and appointments. In some cases, they may still see Valley Children鈥檚 specialists into adulthood.

鈥淲e already have two appointments with specialists that we鈥檝e been waiting for,鈥� said Young. 鈥淭his is a wonderful partnership and has filled the void from us having to go to the emergency department.鈥�