WE BRING
EQUITY TO CARE
Our main goal is to become the most impactful community-based care coordination entity backed by innovative service offerings.
WE BRING
EQUITY TO CARE
Our main goal is to become the most impactful community-based care coordination entity backed by innovative service offerings.
TAKING HEALTHCARE TO THE STREETS
Armed with the deep cultural ties needed to identify systemic barriers, Complete Care is delivering high-intensity, innovatively-driven, and community-based care coordination and management services for managed care organizations and health systems targeting at-risk client-members. The service offerings listed below can be provided a la carte, or bundled as a wholistic program.
INTENSIVE OUTREACH + LOCATION
Complete Care Management Partners (CCMP) deploys intensive outreach and location efforts to connect with our client-members in the community where they live. In addition to utilizing telephonic outreach efforts to locate assigned client-members, Complete Care takes pride in having a field team that is part of the communities we serve. Our Community Connectors (who are trained as Community Health Workers) are in the field daily locating client-members at their place of residence, place of shelter, or their place of care to educate them about their health plan benefits, community resources, and connect them to a care coordinator. The CCMP Outreach team goes above and beyond to locate our assigned client-members, including making multiple in-person visit attempts to known addresses, talking to other members of the local community who may know the client-member, and using various data sources to research other possible addresses where the client-member may be found.
CARE COORDINATION
Complete Care provides various levels of care coordination services. We provide full care coordination program services, whereby we are assigned a designated number of client-members by our client, and are responsible for providing our entire suite of services, including: locating the assigned members; performing designated assessments (see Screenings + Assessments for more information); completing a care plan; assisting with coordinating appointments with Primary Care Providers (PCP), Specialty Providers, and Mental Health Providers; regular client-member outreach for updates; transitions of care follow up; and assisting the client-member understanding the importance of various topics such as completing their annual comprehensive exams with their PCP, completing other exams related to HEDIS Care Gap measures, medication adherence, and post-acute care.
CCMP also offers customized care coordination solutions, where we provide the appropriate level of services desired to fit our clients’ needs.
SCREENINGS + ASSESSMENTS (HRS, HRA, SDoH)
Complete Care Management Partners offers screening and assessment completion services. Our care team members can complete Health Risk Screenings (HRS), Health Risk Assessments (HRA), and/or Social Determinant of Health (SDoH) assessments as part of our suite of care coordination service offerings. The HRS is a shorter, less complex tool that typically serves as the initial screening to identify health history, needs and potential risks. The HRA is a more intricate assessment tool which provides information on a client-member’s current medical and mental health conditions, past health conditions, and medications. The SDoH assessment provides information on the non-medical social and economic factors that influence health outcomes, such as housing, food, transportation, income, etc. Each of these tools work to inform CCMP and our clients of the health history and current needs of the client-member, while also identifying the social determinant of health factors that influence health outcomes.. Completion of these assessments also engages and educates the individuals being served (as well as their families and caregivers) about their health, and works to encourage positive behavior changes that result in better health outcomes.
RESOURCE LINKAGES
Complete Care understands the importance of treating the whole person, including addressing the nonmedical social and economic conditions, or Social Determinants of Health (SDoH), impacting our client-members. Given that research shows that SDoH factors can drive as much as 80 percent of health outcomes, CCMP provides Resource Linkages as one of our service offerings. Utilizing the SDoH assessment to determine what resources the client-member may need, the care coordinator assists with connecting the client-member with community-based organizations that provide the indicated services, which are often related to issues such as housing, food, utility assistance and transportation. Our trained outreach team continually works to build relationships with organizations within the communities we serve and assesses possible collaborations to ensure resources are viable and sustainable for when client-members need them the most.
TRANSITIONS OF CARE
Complete Care Management Partners offers services to assist clients with Transitions of Care. Our Transitional Care Management (TCM) team can locate client-members while at the emergency department or inpatient to assist with completing assessments and assist with planning to ensure appropriate resources and supplies are available for the client-member when transitioning from the health care setting back to home/community-based setting. CCMP is able to conduct post-discharge follow ups to assist with scheduling follow up appointments with providers assist with ensuring client-members have access to prescribed medications, and ensure the client-member has adequate resources and equipment to meet their needs.
DISMANTLING BARRIERS TO CARE DELIVERY
With education, insights and an appreciation for differing mindsets, our engagement model is logical, achievable and most significantly—repeatable. It can be implemented anywhere, and save communities money as healthcare costs are allocated upstream to preventative care instead of downstream to emergency rooms.
Locating, hiring and training locally
Forging creative local partnerships
Hitting the streets with insight and tech
Curating Care through Connected Communities
Complete Care empathetically employs dedicated teams to connect members in the community to their most needed care opportunities. Pathways to better health are established with our care team, building lasting foundations as members seek to navigate the health care system.
Curating Care through Connected Communities
Complete Care empathetically employs dedicated teams to connect members in the community to their most needed care opportunities. Pathways to better health are established with our care team, building lasting foundations as members seek to navigate the health care system.
Work with us to build health equity
Engage Complete Care and begin establishing relational pathways to at-risk and hard-to-reach members.
Complete Care Management Partners, LLC is a proud member of the Chicago Minority Supplier Development Council and a Certified Minority Business Enterprise (MBE) by the State of Illinois. Complete Care offers a suite of care management related services specifically focused on: Intensive Outreach and Location, Care Coordination, Screening and Assessment completion (HRS, HRA, SDoH), Resource Linkages, and Transitions of Care. Complete Care employs a team of dedicated healthcare professionals to connect with at-risk client-members in the community and establish pathways to improve education of benefits, increase access to health care services, and assist with linkages to resources to address social determinants of health.