CMO Care Continuity

The CMO Care Continuity™ program uses a multidisciplinary care team approach to the coordination of personalized care for high risk individuals to help them manage complex or chronic conditions.  Each patient is assigned an accountable care manager who begins by gaining an understanding of the patient’s level of engagement and readiness to change. Individualized care plans are developed based on a comprehensive biopsychosocial assessment that evaluates the impact of illness on an individual’s life and how it is affected by psychosocial stressors, aging, cognitive and functional limitations, behavioral care needs, caregiver support, and end of life issues.