top of page

What is Chronic Care Management (CCM)?



CCM is a service offered by our office that provides a PROACTIVE approach to keep you out of the hospital longer and provide guidance in managing your chronic conditions so you can be as healthy as possible. We develop an individualized plan of care based on your diagnoses and needs. This service includes a minimum of a monthly phone call from our nurse. It is similar to your doctors visit as we will review your medications and any questions about testing. This also provides us an opportunity to review any symptoms/problems you may be having. This is a direct link between the nurse who is calling you and the healthcare provider.  CCM is offered in addition to your regular check-ups and appointments.

Why should you do it?

  • Provide you with the best care possible

  • Keep you out of the hospital

  • Minimize cost and inconvenience to YOU

  • Live a much higher quality of life


  • Acquired Hypothyroidism​

  • Acute MI

  • Alzheimer's

  • Asthma

  • Atrial Fibrillation

  • Benign Prostatic Hypertrophy

  • Breast Cancer

  • Cataract

  • Chronic Kidney Disease

  • Colorectal Cancer

  • COPD

  • CVA/TIA (Stroke)

  • Depression

  • Diabetes

  • Diabetes Mellitus

  • Endometrial Cancer

  • Glaucoma

  • Heart Failure

  • Hip/Pelvic Fracture

  • Hyperlipidemia

  • Hypertension

  • Ischemic Heart Disease

  • Lung Cancer

  • Osteoporosis

  • Prostate Cancer

  • Related D/O of Senile Dementia

  • Rheumatoid Arthritis

Chronic Care


bottom of page