EVCTP Delivers Evidence Based Care and Comprehensive Services
to Medicare Advantage, Medicare and Medicaid Eligible Customers
PREVENTION, CARE PRACTICES & HEALTH PROMOTION
- Patient-centered approach
- Transportation to physicians and wellness visits
- Address social determinants of care—meals,home care, and others
- Stanford Chronic Disease Self-Management
- Ongoing health assessments and strategies for patient success
- Preventative care
- Improved patient and caregiver experience
- Risk screenings and intervention development
- Medication reconciliation and management
- Behavioral health screenings
- Advance care planning
- Preventative solutions through education and patient empowerment
- Outreach
- Fall Prevention
CARE COORDINATION
- Pre and post accute care
- Prevention strategies for Medicare Advantage, Medicare and Dual Eligible participants
- Registered Nurses, social workers, health coaches and direct care staff utilize evidence based techniques to prevent readmissions, promote wellness and ensure quality
TECHNOLOGY
- Maintain database for reporting, performance measures and tracking episodes of care
- Reporting on quality outcomes and quality assurance measures
- Building to integrate with Health Information Exchange
- Full service for referrals, billing, reporting and data analytics