EntireCare
The EntireCare model is based on a person-centered, assessment-based, interdisciplinary approach that identifies required clinical care, non-clinical services and facilitates linkages between all facets of the care and services. At the core of the model is a comprehensive care plan which is managed and monitored by an evidence-based process; and a Care Coordination Team.
The EntireCare Coordination Care Team is a group of healthcare professionals with over 20 years of collective experience. They are responsible for the coordination of all of your services.
EntireCare Coordination delivery’s a program which gives its members their own choices of a healthy, more active and vibrant lifestyle. We complete an individualized care plan based on each member’s assessed needs. We listen to your input and what YOU want to include in your care plan. You do not have to change your physician.
The model addresses inter-relational aspects of physical, psychological and social determinants on a senior’s health status. While many models incorporate variation of care coordination philosophies, EntireCare models includes two innovative components.
1. We bring care coordination to your home through the use of Patient Navigators and in-home medical services, if required.
2. We link all providers to your individual care plan via the modern technology of a secure web-portal.
The above components are the results of the following:
1. To increase healthier lifestyle options for our seniors
2. To decrease the number of emergency room visits
3. To decrease unnecessary hospital admissions and re-admissions
4. To decrease the unnecessary duplicate billing of providers
EntireCare Coordination Team
The Care Team is composed of Patient Navigators, Care Managers, a Care Coordination Director and a Medical Director.
The Medical Director: Is an experienced physician that worked in the community for many years and has provided services to families throughout Chicago communities. He will lead the team to ensure that each member receives all that is needed to be and stay healthy. He will meet with your PCP and other Care Team members regularly to review your personalized care plan when necessary.
The Director of Care Coordination: Is a Registered Nurse with many years of experience working in the community. She will oversee the Care Managers and Patient Navigators.
The Care Managers: Are critical thinkers that will coordinate with you and other service providers to develop your specified care plan. They will work closely with the Patient Navigators to identify your specific needs, whether it’s healthcare or social need.
The Patient Navigators: all received a certification of completion for being trained to assess and assist you with community resources. They will provide you with referrals and resources for transportation, food assistance, snow removal, grass cutting, and more.
The EntireCare Patient Navigator will deliver to you this Member’s Handbook and explain to you the Care Team and each person’s role. Once the Patient Navigator delivers your Handbook the Care Manager will contact you to schedule your assessment visit. This will begin the process of you and the Care Manager in the development of your personalized care Plan. He or She will contact your PCP for his or her input for completion. Your Patient Navigator will be in contact with you regularly for assistance with any challenges you may have regarding your personalized care plan.
EntireCare Executive Director
EMAIL: [email protected] 
Call 708-841-9515 x 2494 for more information
