RN-led CCM Model infographic

A significant factor of chronic care management (CCM) success is who interacts with your patients day-to-day.

It’s common for CCM service providers to employ medical assistants (MAs) or licensed practical nurses (LPNs) as the main point of contact between in-office staff and their patients. However, this model does not yield the best results.

Leverage a CCM care team made up of 100% registered nurses (RNs) to improve clinical outcomes.

100% RN Model

Goes beyond preventative care.

  • Helps patients across the entire spectrum of chronic care management: preventative care, disease management, and high-risk, complex care
  • Teaches patients how to self-manage their chronic conditions at home
  • Moves patients along clinical pathways to ensure optimized outcomes
  • Conducts motivational interviewing to improve treatment adherence
  • Initiates telephone triage if a patient’s condition worsens

Other Models

Often falls into a care coordination role.

  • Focuses on preventative care, not disease management or complex care, e.g., preventive/other appointment reminders and facilitating transportation

100% RN Model

Saves in-office staff time and energy by working independently.

  • Uses their clinical judgment to effectively treat and coach patients without needing additional guidance
  • Possesses the knowledge to handle various complex cases and navigate difficult patient health situations

Other Models

Requires additional guidance from in-office staff.

  • Requires regular contact with in-office staff because of their smaller scope of practice
  • Leads to frustration from busy staff members
  • Doesn’t fully eliminate in-office staff burden

100% RN Model

Actuates impactful clinical outcomes.

  • Leverages their knowledge and ability to engage with and educate patients on a deeper level. This drives financially impactful clinical outcomes, such as preventing hospital admissions/readmissions and ER events
  • Drives financial bonuses for value-based care contracts and quality-based incentives for fee-for-service populations

Other Models

Less comprehensive care leads to fewer improved outcomes.

  • Only scratches at the surface of a truly comprehensive CCM program
  • May not generate the same clinical and financial outcomes

Our chronic care management solution is exclusively run by our team of RNs and requires no upfront costs or additional work from your staff.

Sound too good to be true? It’s not. Let us show you how.

Wondering how our expert RNs could help your organization? Contact us at info@circlelinkhealth.com.