Population Health
Hansen Family Hospital Population Health Services: Health Coach Specialist
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Expectations of a Health Coach:
The health coach will:
- Identify all needed preventive health maintenance, immunizations, and chronic disease interventions
- Work with patients and families on Self-Management Support
- Coordinate Care across the healthcare system
Self-Management Support:
While the Health Coach will lead Self-Management Support; it takes the team, including you, to make it work. Self-Management Support includes:
- Setting short and long-term goals for self-management of chronic disease
- Addressing medication adherence
- Creating a plan for “Health Behavior Change” to assess and work on your readiness to change and identify and overcome barriers
- Planning for follow-up visits between regular clinic visits
- Providing or arranging needed patient education regarding specific or general health care topics
- Communicating face-to-face in the office setting, by telephone, or by e-mail
Coordination of Care:
Coordinating where, when, and how you receive healthcare services can be complicated. The Health Coach will help navigate your care by:
- Assisting as liaison with patients and their families to physicians, clinical staff, and other healthcare departments
- Acting as a liaison with hospitalized patients and the clinic; and following up with patients by phone shortly after hospital discharge
- Assisting patients in appropriately accessing healthcare services in a timely manner to prevent unnecessary emergency department visits and acute hospital admissions
- Arranging appropriate transportation for required visits and services
- Acting as a liaison with specialty clinics, including dentist, podiatrist, ophthalmologist and cardiologist
- Proactively act as your patient advocate, responding to and working to resolve your concerns and address barriers of care coordination
- Providing a link to community resources
For a physician referral, call: 641-648-7035