Case Study

Primary Care Practice Scales Care & Saves Lives with ChronicCareIQ

THE OBJECTIVE:

As enrollment grew, the limits of HPG’s existing platform was exposed, leaving teams stuck managing patients across multiple systems.

Specific challenges included:

  • Lack of integration with the practice’s other technologies
  • Organizing and tracking patients appropriately
  • Improving communication with patients
  • Meeting documentation requirements and audit compliance
  • Lack of RPM program

They needed a unified solution that streamlined workflows, integrated with existing systems, and reduced time spent on administrative tasks.

Provider Background

Led by Dr. Gabriel Nuriel, Home Physicians Group (HPG) serves 5,000+ geriatric patients across 14 central Florida counties with a team of 10 providers.

Care spans primary and specialty services for homebound patients and those in assisted living, independent living, and adult daycare.

Patient Highlight:

Home Physicians Group enrolled a CCM patient with minimal understanding of his conditions and no familiarity with blood pressure monitoring.

Early detection of negative trends enabled the care team to intervene, ultimately saving his life with a pacemaker.

Steady support and clear guidance after gave the patient confidence to manage his health, from monitoring vitals to understanding diagnoses and medications.

Early changes in his vitals let us know to step in. That intervention led to a pacemaker. Without it, this likely would’ve escalated into a critical event.”
Emily Estevez, CMA, Patient Advocate Specialist

It's all hands-on deck, everyone uses CCIQ every day. It makes everything a lot more efficient and allows the team to focus more on patient care rather than administrative tracking.”
— Emily Estevez, CMA, Patient Advocate Specialist

Patients Enrolled
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Practice Results:

With ChronicCareIQ, HPG:

  • Confidently tailored care plans to meet patients’ needs and help them better understand and manage their conditions
  • Captured phone calls thanks to integration with CallerIQ, allowing them to keep their current phone system
  • Streamlined patient tracking and documentation with everything organized in one platform
  • Achieved audit compliance, alleviating the stress of having to document elsewhere
  • Provided patients with consistent communication with care teams
  • Scaled programs while meeting CCM requirements
  • Easily obtained patient data through integration with blood pressure, PulseOx, and weight scale devices