Johns Hopkins Guided Care® Preventative Care Management
Utilizing Licensed Technology from Johns Hopkins University.
Guided Care is “THE” proactive medical care management service for patients with high-risk chronic conditions and complex health needs who choose to become healthier.
Guided Care nurses function as a liaison with each primary physician, taking the physician—patient in-home relationship to the next level.
Guided Care nurses are knowledgeable about COPD, CHF, Parkinson’s, heart disease, stroke, diabetes, and Alzheimer’s, to name a few.
Guided Care nurses motivate and guide patients to self-manage care which adds to successful outcomes, and enhances quality-of-life.
Guided Care nurses are specially trained and certified by the Institute for Johns Hopkins Nursing in the care management of patients with high-risk chronic conditions.
How Is This Accomplished?
Guided Care begins with a comprehensive assessment and getting to know your goals.
The Guided Care nurse-physician relationship is established and together a personalized Guided Care plan sets you on a path to optimizing your health.
Remote Patient Monitoring tools are also available, enabling closer oversight in real time.
Routine visits are made to proactively coach and guide you in self-managing your care, and keeping you on track with your physician’s treatment plan between office visits.
Supporting your Guided Care plan, the nurse coordinates efforts of all treating providers and communicates with your physician thus reducing fragmentation of care.
Guided Care nurses smooth transition in and out of hospitals and other facilities. We visit you, communicate with hospital staff and other professionals and prepare you for discharge.
Guided Care nurses are immediately accessible and responsive to your needs 24 hours a day. When health-related problems emerge, your physician is contacted, and Guided Care nurses implement appropriate action.
