Chronic Care Management
CCM program for patients with multiple chronic conditions
Enrolled Patients
1,250
60% of eligible
Monthly Minutes
18,500
14.8 min/patient avg
Monthly Revenue
$78,000
$62.4 per patient
Care Plan Completion
94%
Care plans created
Care Management Activities
Monthly CCM activity completion rates
Care Plan Creation
94%1180/1250 completed
Monthly Check-ins
90%1125/1250 completed
Medication Reviews
84%1050/1250 completed
Care Transitions
88%245/280 completed
Chronic Conditions
Patient distribution by condition
Diabetes
485 patients
39%
Hypertension
620 patients
50%
COPD
280 patients
22%
Heart Disease
340 patients
27%