Chronic Care Management (CCM) is a team approach to your healthcare. Your team consists of:
Your Provider
Care Coordinator
RN
You
How often will I speak with my Care Coordinator or RN?
A typical time frame includes a follow up conversation halfway between each visit to the provider. However, your Care Coordinator or RN will work with you and your provider to determine the appropriate time frame.
Who can be part of CCM?
Any patient at Entira Family Clinics can be in CCM.
Will Care Coordinators and RN work with family members of a patient?
Yes. We often will work with a patient’s parents (for their children) or children (for their aging parents). The family members do not need to be a patient of Entira Family Clinics.
How long is the program?
There is no specified length of time for the program. You can be part of CCM as long as you are a patient of Entira Family Clinics or until you feel the program is no longer benefiting you.
How do I become a part of CCM?
Ask your provider at your next clinic visit, or call the number for your clinic’s Care Coordinator.
CCM Care Coordinators – Phone Numbers
Como/Roseville: 651-328-8470
East Side: 651-788-4462 / 651-788-4478
Highland: 651-328-8473
Inver Grove Heights: 651-328-8472
North St. Paul: 651-328-8477
Shoreview: 651-328-8471
Vadnais Heights: 651-788-4472
West St. Paul: 651-328-8475 / 651-788-4473
Hugo: 651-788-4468 / 651-788-4473
Woodbury: 651-788-4470