Enhanced Care Management (ECM) Services
Whole-Person, Interdisciplinary Care for Complex Medical and Social Needs
What is ECM?
Enhanced Care Management (ECM) is a comprehensive approach designed to address both clinical and non-clinical needs of members with complex health conditions. Our services include:
- Systematic Coordination: Ensuring all aspects of your care are seamlessly integrated.
- Community-Based Support: Providing services within your community for better accessibility.
- Person-Centered Approach: Tailoring care plans to meet your unique needs and preferences.
Our Goals
We aim to:
- Improve Care Coordination: Streamlining communication among your healthcare providers.
- Integrate Services: Combining medical and social services for holistic care.
- Facilitate Community Resources: Connecting you with local support systems.
- Address Social Determinants of Health (SDOH): Considering factors like housing, transportation, and nutrition.
- Enhance Health Outcomes: Striving for better overall health and well-being.
- Reduce Unnecessary Utilization: Minimizing avoidable hospital visits and redundant services.
Populations We Serve
Sowing Seeds Health specializes in ECM services for:
Individuals at Risk for Avoidable Hospital or Emergency Department (ED) Utilization
- We identify factors contributing to frequent hospital visits and work to mitigate them by:
- Connecting you with a Primary Care Provider (PCP).
- Addressing gaps in access to specialists or medications.
Adults Living in the Community and At Risk for Long-Term Care (LTC) Institutionalization
- Our intensive care coordination helps you remain safely at home by facilitating:
- Home Modifications.
- Respite Services.
- Personal Care and Homemaker Services.
- Medically Tailored Meals/Medically Supportive Food.
Adult Nursing Facility Residents Transitioning to the Community
- We assist residents interested in moving out of institutional settings by ensuring they:
- Are prepared for a successful transition.
- Can reside continuously in the community.