Cabin Creek Health Coaches
Current Roles Outlined in the Health Coach Manual*:
- Establish a relationship with the patients and appropriate family members
- Develop a strong relationship between patient and their clinical team (bridging the gap between patients and providers)
- Complete initial intake on all enrollees - updating problem and medication lists, preventive screenings, recent hospitalizations/ER visits, and recording patient story in the electronic health record
- Administer standard assessment tool (e.g. Duke Health Profile or VR-12)
- Be available to the patient and address access or care questions
- Conduct home visits for at risk patients following the home visitation guide
What Are Your Goals?
Next: Go to an overview of our recommendations
- Increase (face-to-face) interaction with patients
- Collect more expansive patient social histories to determine the need for referrals to behavior health coaches
- Receive further training regarding communication with the patients
- Determine more ways to contact patients
- Improve visibility, recognition, and collaboration with providers
Next: Go to an overview of our recommendations