Health Services Partnership of Dorchester

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Welcome to the HSP network. ::: Monday, Sep 6 2010  
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Care Coordination
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Care Coordination Vision Statement

Our vision is to develop and foster a system of care that goes beyond the concept of clinical integration of services. This system of care provides a platform for health and wellness that connects essential elements of peoples’ lives: clinical care, health promotion, recreation, social service, education, employment, housing, and civic involvement. We recognize the impact of social and economic circumstances on health and wellness.


Care Coordination Implementation

  • Assessment of patient population, clinical protocol development, staff training and development of materials.
  • Began with asthma disease management, added diabetes, and management of other high risk, chronically ill patients.
  • Manage high risk, full risk managed care patients.
Care Coordination/Care Management

  • Clinical guidelines
  • Patient education
  • Case management
  • Social services
  • Community outreach
  • Referrals





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