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Ongoing Care Coordination

Chronic and complex conditions are rarely managed by one doctor. They are managed by several, each seeing one part of the picture, and the job of holding it all together usually falls to the patient or a family member who is not a clinician. Amy DuBois, RN, BCPA, takes that job on: assembling records into a single medical summary, reviewing medications for interactions, attending appointments, and keeping every physician on your case informed with up-to-date information.

What this includes

  • Obtain previous medical records to formulate a medical summary for all the physicians on the case
  • Medication review for potential interactions and education to the client about their medicine
  • Accompany the client to his/her doctor appointments to ensure the questions are being asked and that the plan is understood
  • Facilitate communication between all the physicians involved to ensure all members of your team are informed with up-to-date information
  • Educate the client and family on the health issues, care and options available
  • Assist the client/designee to become independent in their care
  • Evaluate needs to make the client's environment safer
  • Coordinate follow-up tests/appointments
Ongoing Care Coordination

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How it works

  1. 1

    Assemble the record

    Amy obtains previous medical records and formulates a single medical summary that every physician on the case can actually use.

  2. 2

    Review the medications

    A full medication review for potential interactions, plus education so you understand what each medicine is for and why it was prescribed.

  3. 3

    Attend and coordinate

    Amy accompanies you to appointments to make sure the right questions get asked and the plan is understood, then coordinates follow-up tests and appointments.

  4. 4

    Build independence

    The goal is not dependence on an advocate. Amy works toward you or your designee managing the care confidently, with a safer home environment and a clear plan.

Common questions

My spouse sees five different specialists. Do they talk to each other?
Often not as much as families assume. Amy facilitates communication between all the physicians involved so every member of the team is working from up-to-date information rather than a partial picture.
Can you review medications even if we do not need anything else?
Yes. A medication review for potential interactions is a common standalone request, particularly after a hospital stay or when a new specialist has been added.
Do you attend appointments in person?
Yes. Amy accompanies clients to doctor appointments throughout Tucson and Southern Arizona, and provides a written summary afterward followed by a call.
See all frequently asked questions

We serve the Entire Southern Arizona Community

Serving Tucson, Oro Valley, Marana, Sahuarita, Green Valley, and Tubac

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Board Certified Patient Advocate certificate granted to Amy DuBois by the Patient Advocate Certification Board
Board Certified Patient Advocate (BCPA)
Granted by the Patient Advocate Certification Board to Amy DuBois, the credential of Board Certified Patient Advocate. Certificate number on file. Date issued: .
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