health care for patients with chronic conditions through care coordination and integration that assures access to appropriate... engagement of clients in detailed progress notes. Promote good health. Provide transition care, including appropriate follow-up...
and consent them to the respective Health Home. Engage patients in care by phone, letter, HIT and community outreach... for our community through Primary and Specialty Medical Care, Dental, Behavioral Health, Audiology, Physical Therapy, Occupational...