Be Well Innovations

Care Management Programs empower patients by actively involving them in their own care journey. Through education and engagement, patients learn how to manage their conditions, mitigate risk factors, and advocate for their needs. BWI will assist patients with the following:

• Patient Education
• Navigating their health systems
• Tracking & monitoring chronic diseases
• Assisting with Remote Patient Monitoring

BWI will improve patient outcomes by emphasizing preventative care proactively identifying care gaps and facilitating seamless care coordination. Our team will work directly with patients to connect them to resources in their community. BWI will address social determinants of health by providing community outreach programs, wellness initiatives, and connections to community resources such as food services, transportation, and senior services.

Unfair and unjust differences in SDOH contribute to chronic disease disparities in the United States among racial, ethnic, and socioeconomic groups,  limiting opportunities for members of some groups to be healthy.  Equitably addressing differences in SDOH helps make progress toward health equity, a state in which every person has the fair and just opportunity to attain their highest level of health. A vital aspect of the chronic care management model is to help identify any outside barriers that could be interrupting the patient’s path to better health and wellness. The BWI Team believes that by giving people the resources and knowledge to remain healthy, you lower their need for medical services.