Services We Offer
Description Of Services
DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT
Diabetes self-management education and support, a program accredited by the Association of Diabetes Care and Education Specialists, is provided by Sorgi certified diabetes educators to patients diagnosed with Type 2 diabetes. The program consists of six group classes which support self-managemnt of the disease. Individual action plans are developed to provide personalized and continued support and guidance throughout treatment. Education topics include: Healthy decision making, making healthy food choices, taking medications as prescribed, monitoring blood sugar, staying physically active, healthy coping and problem solving.
DIABETES PREVENTION PROGRAM
The Centers for Disease Control and Prevention (CDC) Diabetes Prevention Program is designed to prevent or delay Type 2 Diabetes. Twenty-five small group classes are facilitated by a Sorogi lifestyle coach who leads discussions of lifestyle changes that can alter behavior and result in improved health. Diabetes Prevention Program activities include: Personal goal setting, exercise, nutrition, and peer support. Some topics covered include: Eating healthy without giving up foods you love, adding physical activity even if you do not think you have time, dealing with stress, Coping with challenges, Getting back on track if you slip up, Staying motivated. Benefits include improved health outcomes for patients, reduced health care costs, and improved quality of life.
BLOOD PRESSURE MANAGEMENT
Self-monitoring of blood pressure combined with hypertension-related education and lifestyle changes that reduce stress can lead to improved clinical outcomes and prevent complications. Our blood pressure program provides participants opportunities to join weekly education sessions, physical activities, cooking demonstrations, and work with a Registerd Dietitian to develop a customized nutrition plan to get the support they need to improve their overall health.
Use of technology to monitor blood glucose levels or blood pressure readings in patients with diabetes or hypertension provides critical information on sugar levels, blood pressure, symptoms, diet, medication adherence and effectiveness. Regular monitoring by Sorogi staff can trigger appropriate interventions and prevent serious health complications. RPM services includes patient training on use of technology, daily monitoring of results, reporting, alerts to patients and healthcare providers as needed with appropriate interventions, and patient support and information calls.
HEALTHCARE PROVIDER TRAINING
CHRONIC CARE MANAGEMENT
The Chronic Care Management Program (CCMP) assists healthcare providers to implement vaue-based patient care plans that are supported by the Centers for Medicaid Services (CMS). Sorogi offers in-person and virtual care coordination services for patients with chronic health conditions. Services include: Patient outreach, developing patient-centered care plans, personalized care management and preventative care services, and medication management.
Concierge Service is designed for individuals newly diagnosed with chronic health conditions such as diabetes and hypertension and those strguggling to manage their condition. The service focuses on and is tailored to address specific individual needs to ensure a solid understand of the disease, how to manage it well, and the resources that are available. Services are offered for 1month or one year and included a personalized welcome kit, monthly appointments with a certified Diabetes Educator (Diabetes) or Pharmacist (Hypertension), Individual sessions with a registered dietitian, customized meal plan, training onuse of remote monitoring technology, monthly remote monitoring of blood glucose levels or blood pressure readings, and a peer support network.
Pilot Studies and Results
Sorogi pilot projects and studies have shown results in key ways: