Sagebrooke Family Medicine

Care Coordination That Keeps Everything Connected

Specialists, labs, imaging centers, pharmacies and hospitals each hold part of your health story. We help bring those pieces together into one plan, and arrange the in-person care that a telehealth visit cannot provide.

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A woman clinician with a stethoscope writes notes at a wooden table beside her open laptop.

What Is Care Coordination?

Care coordination means organizing your care and sharing information among everyone involved in it. It is common to see a specialist, visit an imaging center, fill prescriptions at a pharmacy and have lab work done, each with its own record. Without someone connecting the pieces, details can be missed.

Primary care is a natural home for coordination because it is the one relationship that spans all of your health needs. Your primary care provider knows your history and goals, can help make sense of specialist recommendations, and can notice when two treatments conflict, when a test has been repeated, or when a follow-up never happened.

Coordination matters even more in a telehealth practice. Sagebrooke starts with video visits for patients located in Utah, with an in-person clinic planned for later. When you need a hands-on exam, a Pap test, a vaccine, an X-ray or a specialist, we help you arrange it and bring the results back into your plan.

You may benefit if

  • You see more than one specialist and no one has the full picture
  • You take medications prescribed by different clinicians
  • You were recently seen in an emergency room or hospital
  • Test results or referral letters get lost or never reach you
  • You are unsure who is responsible for follow-up
  • You need in-person care that a video visit cannot provide
  • You are helping an aging parent or a child keep track of their care

What to Expect

  • A review of your conditions, medications and the clinicians you see
  • Referrals to specialists, with the background information they need
  • Labs and imaging ordered to local facilities and followed up
  • Help arranging in-person care, such as Pap tests, vaccines and hands-on exams
  • Follow-up after emergency room visits and hospital stays

Our Approach to Care Coordination

Understand the Whole Picture

We start by reviewing your history, current conditions, medications, recent tests and the other clinicians involved in your care. We also ask what matters most to you, because a coordinated plan should reflect your priorities as well as your diagnoses.

Make a Clear Plan

Together we build a plan that lists your goals, who is responsible for each part of your care, which referrals or tests are needed, and how your medications fit together. You get a clear picture of next steps rather than a stack of separate instructions.

Close the Loop

As results return and specialists weigh in, we review the information, update the plan and keep you informed. When something changes, such as a new diagnosis or a hospital stay, we help adjust the rest of your care to match.

Benefits

Fewer Medication Mix-Ups

Medication reconciliation compares every prescription, over-the-counter product and supplement you take to look for duplicates and interactions.

Fewer Missed Follow-Ups

Lab and imaging results are tracked so abnormal or pending results are followed up.

One Place for the Whole Picture

With your permission, specialists learn about your other conditions and treatments, and their recommendations are folded back into your overall plan.

In-Person Care Arranged

When a video visit is not enough, we help you arrange the in-person exam, test or specialist visit you need.

How Care Usually Unfolds

First Visit

We review your history, medications and the clinicians you see, and talk about your goals. Having your medication bottles and recent records nearby makes this visit more useful.

Weeks 2 to 4

Requested records arrive and referrals or tests are arranged. Timing depends on how quickly outside offices respond.

Months 1 to 3

Specialist input and results are reviewed and your plan is updated. Medication lists are confirmed and gaps in follow-up are closed.

Long Term

Coordination continues as your health changes, through new diagnoses, procedures or care transitions. It is an ongoing process, not a one-time task.

What coordination includes

Coordination is a set of practical services rather than a single treatment. Depending on your needs, it may include:

Medication reconciliation, comparing every prescription, over-the-counter product and supplement you take to look for duplicates and interactions.

Referrals to specialists, with the background information they need.

Records gathering from hospitals, imaging centers and other practices.

Tracking lab and imaging results so abnormal or pending results are followed up.

Arranging in-person care, such as Pap tests, vaccines, hands-on exams and X-rays.

Follow-up after an emergency room visit or hospital stay.

Help connecting with prenatal care if you become pregnant.

Plain-language summaries of your plan.

Common Questions About Care Coordination

What does care coordination actually involve?

It means organizing the different parts of your health care so they work together. That can include arranging referrals, requesting and reviewing records, reconciling medication lists, making sure test results are followed up, and helping you understand what each clinician recommends.

How do you handle care that needs an in-person visit?

Sagebrooke starts as a telehealth practice. When you need a hands-on exam, a Pap test, a vaccine, a lab draw or imaging, we help you arrange it with a local lab, imaging center or other provider, and we follow up on the results with you.

How does coordination help after a hospital stay?

The days right after discharge are when medication mix-ups and missed follow-up are most common. Reviewing your discharge paperwork, comparing new and old medications, and arranging needed follow-up can reduce confusion and help prevent setbacks.

Will you communicate with my specialists?

With your permission, yes. We aim to make sure specialists know about your other conditions and treatments, and that their recommendations are folded back into your overall plan.

How do I get started?

Reach out through our contact page. It helps to have a list of your medications, the names of the clinicians you see, and any recent records or test results.

Does insurance cover care coordination?

Sagebrooke Family Medicine is an insurance-based practice, and we are in the process of joining insurance plans. What you pay depends on your plan, including any copay, deductible or coinsurance. Contact the practice to check whether your plan is accepted, and check with your insurer about coverage for medications, labs and imaging.

Want Help Bringing Your Care Together?

Reach out through our contact page to ask a question, check whether your insurance plan is accepted, or request an appointment.

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