Practice Chronic Care
Management Efficiently and Compliantly
An EHR Plug In Designed for Chronic Care Management and Remote Patient Monitoring
incorporating Duchess CCM Whole Health Care
One Platform for the
Entire Care Team
An ecosystem fueled by support and collaboration with the sole purpose of advancing personalized, patient centered chronic care management, together.
LAB
PHYSICIAN
Patient
DATABASE
HEALTH COACH
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PHARMACY
PATIENT
Use of the CCM platform will encourage providers to practice CCM and RPM by automating compliance and optimizing patient care.


Automated prescription database searches
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Integrated laboratory and pharmacy
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Embedded telemedicine
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Integrated health coaching network
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Patient compliance dashboard
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Rules based communication system
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Programs held at locations near you
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Virtualization available for rural and underserved populations
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Let us help you improve the health of your patients with chronic disease with a tool that helps manage your compliance requirements while promoting best practices
Our Clinical Support Staff
Health Coaching, Nutrition, and Fitness
Based on referral, screening, and assessments, a personalized care plan is created for each patient. Selected modular programs are prescribed and certified health coaches, nutritionists, and fitness instructors deliver the content and perform on site assessments.
Personalized Lifestyle Programs
Fitness Prescription
Establish Eating Habits
Adopt a Healthy Lifestyle
Set Health Goals
Personalized Nutrition Plan