Going the Distance Every Day
Sarah, a 49-year-old woman, found herself navigating the turbulent aftermath of her past. Diagnosed with depression and PTSD due to domestic violence, Sarah’s life was a daily battle. Her days were often spent in the emergency department or urgent care, seeking relief from both physical and emotional pain. With no Primary Care Provider (PCP) to guide her, Sarah’s health was on a downward spiral.
Everything began to change when Sarah made a crucial decision to self-refer to a Personal Health Nurse (PHN) through Conifer. Sarah’s journey to recovery was set into motion by the compassionate and strategic intervention of her PHN. The nurse began with a thorough assessment of Sarah’s health status and treatment plan adherence. It was immediately clear that Sarah lacked a PCP and relied heavily on emergency services for her medical needs. Her visits to a counselor had ceased due to the Covid-19 pandemic, and she was not on any antidepressant medications. Her adherence to evidence-based medicine (EBM) was only at 50%, a stark indicator of the gaps in her care.
How Conifer’s Personal Health Nurse (PHN) Helped
With a deep understanding of Sarah’s situation, the PHN coordinated a plan to transform her health trajectory:
- Her PHN arranged for Sarah to meet with a new PCP, ensuring she had a stable and reliable source of medical care.
- Sarah completed all her overdue screenings and lab work, with results coming back within normal limits, providing a much-needed sense of relief.
- Through continuous support and education, Sarah’s EBM adherence soared to 90%.
- Sarah resumed her weekly counseling sessions, a critical component of her mental health recovery. The PHN also provided information on local support groups, enhancing her coping mechanisms.
Member Results
Sarah’s dedication, combined with the PHN’s unwavering support, led to remarkable outcomes. Sarah is now an established patient with her new PCP, receiving consistent and personalized care. All her screenings and lab work are up-to-date, with normal results. Sarah’s adherence to her treatment plan is now at an impressive 90%. She attends weekly counseling sessions, fostering her mental and emotional well-being. Sarah has met all her current health goals and is equipped to reach out to her PHN for any future needs.
Conclusion
Sarah’s story is a testament to the transformative power of comprehensive and compassionate health care. With the dedicated support of her PHN, she has turned a corner in her health journey, moving from a place of crisis to one of stability and hope. Her resilience and the PHN’s guidance have paved the way for a brighter, healthier future.
*Member’s name has been changed for privacy.
Individualized Approach
Personal. Health. Nurse.
Help members navigate the care continuum to find the right care, in the right setting, at the right time —go beyond episodic case management or chronic disease management.
Our Personal Health Nurses engage members and optimize benefit plan utilization through collaborative care management and heightened health literacy.
Conifer Health’s Population Health Management solutions are powered by ConiferCore® technology, a proprietary platform for:
Member Advocacy
IMPROVE. HEALTH. OUTCOMES.
Care Navigation
Dedicated one-on-one collaboration and care planning with a Registered Nurse
Disease Management
Goal-based programs care for the person, not just the chronic condition
Case Management
Support members most at-risk for high-dollar or ineffective benefit utilization
Utilization Management
Maximize member access to the right care, in the right setting, at the right time