Did you know that members of the Augusta Community Health Plan (the hospital’s health insurance) have a dedicated care manager? Kim Staton, RN, BSW, is available to support health plan members with a wide variety of services, including:
- Biometric Screenings
- Program Referrals:
- Diabetes Prevention Program
- Nutritional Health & Education
- RxEx Medical Fitness Program
- Behavioral Health services
- Employee Assistance Program (6 sessions free)
- Community Resources
- Disease Management for Hypertension, Metabolic Syndrome/Obesity, and Diabetes
- Post-Hospital Follow-Up
- Assistance for Members with High ED Utilization
Based on biometrics, claims data and clinical criteria (as defined by our physician-led Quality Committee), Kim identifies plan members eligible for her services and reaches out to primary care providers to coordinate referrals. For providers in AMG, she utilizes the Patient Case functionality in Athena.
It is especially helpful if providers are able to make a “warm handoff” to Kim via a 1:1 discussion during an appointment, phone call from the practice to the patient, or sending an introduction letter to increase that patient’s openness to services. After an initial assessment and connection to services, Kim continues to follow her patients, monitoring for adherence and reinforcing success.
AMG providers can refer to Kim by sending a Patient Case in Athena. Other providers can contact her via email at firstname.lastname@example.org or phone at 540-332-4225.