Coordinated Care Program

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Medication Reminder for Patients
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The Coordinated Care Program

Designed to focus on frail individuals with multiple complex comorbidities and social issues who may require additional supports and services to stay healthy in the community.  The concept of a coordinated care program was created by Health Links  which established criteria of 4 or more chronic conditions with an inpatient hospitalization in the previous year, or at the discretion of a PCP.