Hoss-Kick
Principal Care Management

Focused Principal Care Management

Hoss-Kick's Principal Care Management (PCM) provides structured management of complex single-condition patients, bridging gaps between office visits with focused, personalized care plans and continuous monitoring.

What is Principal Care Management?

PCM is designed for patients with a single high-risk disease or complex chronic condition that requires intensive management. Unlike CCM which manages multiple conditions, PCM focuses deeply on one primary condition to optimize outcomes and prevent complications.

Single-Condition Focus

Intensive management of one complex chronic condition requiring specialized attention

Dedicated Care Team

Specialized clinical staff with expertise in the patient's specific condition

Continuous Monitoring

Regular check-ins and monitoring between office visits to track progress

Outcome Tracking

Detailed tracking of condition-specific metrics and treatment effectiveness

Principal care management consultation

Conditions Suitable for PCM

Complex single conditions that benefit from intensive, focused management

Advanced Diabetes

Complex diabetes requiring intensive glucose management and complication prevention

Monitoring Includes:
Continuous glucose monitoring, medication adjustments, lifestyle coaching

Severe Heart Failure

Advanced heart failure requiring careful monitoring and medication optimization

Monitoring Includes:
Daily weight tracking, symptom monitoring, medication titration

Advanced COPD

Severe COPD with frequent exacerbations requiring intensive respiratory management

Monitoring Includes:
Spirometry tracking, oxygen monitoring, exacerbation prevention

Complex Hypertension

Resistant hypertension requiring multiple medications and intensive monitoring

Monitoring Includes:
Blood pressure tracking, medication optimization, lifestyle modification

Advanced Kidney Disease

Chronic kidney disease requiring careful monitoring and progression prevention

Monitoring Includes:
Lab value tracking, medication adjustments, dialysis preparation

Complex Mental Health

Severe depression or anxiety requiring intensive psychiatric management

Monitoring Includes:
Mood tracking, medication management, therapy coordination

PCM Care Process

Structured approach to managing complex single conditions

1

Comprehensive Assessment

Detailed evaluation of the patient's condition, current treatment, and care goals

2

Personalized Care Plan

Development of a focused care plan specific to the patient's condition and needs

3

Continuous Monitoring

Regular monitoring and check-ins to track progress and adjust treatment as needed

4

Ongoing Optimization

Continuous refinement of care plan based on patient response and outcomes

PCM Benefits

Focused care management delivers superior outcomes for complex conditions

Improved Condition Control

Intensive focus on single condition leads to better disease management and control

Reduced Complications

Proactive monitoring and intervention prevent condition-related complications

Enhanced Quality of Life

Better condition management improves patient's overall quality of life and function

Personalized Treatment

Care plans tailored specifically to the patient's condition and individual needs

Continuous Support

24/7 access to clinical staff specialized in the patient's specific condition

Better Outcomes

Focused management approach leads to measurably better clinical outcomes

Start PCM Services Today

Begin offering Principal Care Management for your complex single-condition patients. Provide intensive, focused care that improves outcomes and enhances quality of life.

Nurse Hoss