Compassus’ Advanced Care Management (ACM) model is designed to bridge the gaps and improve care and clinical outcomes for patients with serious illness. Through advanced analytics, we identify patients that can benefit from Advanced Care Management where our teams meet patients where they are, providing high quality holistic, person-centered supportive care.
ACM helps address patient needs early on in their care journey with a goal of improving satisfaction through proactive, transitional case management that considers levels of care based on their condition and goals of care. Levels of care that are considered include: curative care, supportive care, palliative care, advanced care planning, hospice care and more.
What does advanced care management look like?
- Patient and caregiver outreach, education, and consultations
- Goals of care conversations and advanced care planning
- Community and Family Support: Medical Social Worker, Registered Nurse, Spiritual services
- A personalized care plan based on patient needs and goals
- Collaboration with PCP and other members of patient’s health care team
- 24/7 access to nursing support via telephone
- Pain and symptom management
How could Advanced Care Management help your Organization?
With ACM, our partner organizations have experienced total cost of care reductions in the last year of life through increased access to high quality hospice care and reductions in unnecessary emergency department visits and inpatient stays.
Access to High Quality Care
Unnecessary Emergency Department and inpatient Stays
Total Cost of Care Reductions of 35% in the last year
Home Health Care
Home Health provides support for people needing continued medical assistance after discharge from a hospital or inpatient facility, or as part of their care plan for an illness, chronic health condition or injury.
Palliative Care
Palliative care is an invaluable resource for patients and their families while they manage serious illness, providing comfort and support and improving their quality of life.
Hospice Care
Hospice offers comfort to patients and their families while helping people live as well as possible when life expectancy is limited.
Meet Coushatta
Coushatta’s journey as a caregiver for her grandmother was filled with love but also uncertainty. Struggling with an advanced illness, her grandmother was enrolled in Compassus’ Advanced Care Management (ACM) program.
