Healthcare · Patient Engagement

Chronic Disease Management Program Enrollment

Enroll eligible patients into structured chronic care management or remote patient monitoring programs.

Apps this needs

EHR / Practice System Read availability and write appointments back to your clinic system. Connect during setup
SIP Trunk Route inbound & outbound calls through your phone system. Connect during setup
Remote Patient Monitoring Connected device data — glucose, blood pressure, vitals — between visits. Connect during setup

How it works

  1. Agent identifies patients meeting provider-defined eligibility criteria via the enrollment module.
  2. Explains the program — what's included, applicable cost-share — and confirms enrollment interest.
  3. Coordinates initial setup — device shipment, care plan review appointment — once enrolled.
  4. Tracks enrollment-to-active-participation rate for program reporting.

Data sources

EHR program eligibility criteria Enrollment status

What it targets

  • Eligible patients offered enrollment Target 80%
  • Enrollment acceptance rate Target 45%