Chronic Care Management Clinic in Shoreline, WA
Chronic care management involves ongoing support for individuals with long-term conditions like diabetes and heart disease. It focuses on regular monitoring, medication management, and lifestyle adjustments to prevent complications and improve quality of life. At Family Health Care, Dr. Dinh Tran, MD, and his team are here to support your journey to better health through our Chronic Care Management program. For more details, contact us or request an appointment online. We are conveniently located at 1507 NE 150th St, Suite A, Shoreline, WA 98155.


Table of Contents:
What is chronic care management?
What qualifies a patient for chronic care management?
What conditions are typically managed through chronic care management?
How often will I need to meet with my healthcare provider for chronic care management?
At Family Health Care, we recognize the significant impact chronic illnesses have on our patients and offer exceptional chronic care management (CCM) services. Our approach focuses on providing continuous support to improve health outcomes and enhance the quality of life for those living with long-term conditions like diabetes, hypertension, heart disease, asthma, and arthritis.
Our dedicated team of primary care physicians, specialists, nurses, and healthcare professionals work together to create personalized care plans for each patient. These plans include regular monitoring, medication management, lifestyle modifications, and educational resources to prevent disease progression and reduce the need for emergency care.
Effective communication is crucial in our CCM strategy. We encourage regular contact between patients and their healthcare team, ensuring that concerns and changes in condition are addressed promptly. We use advanced technologies like electronic health records and telehealth services to share information and monitor patients, allowing for timely adjustments to treatment plans and improved adherence to therapies.
We also address social determinants of health, such as access to healthy food, transportation, and mental health support, by coordinating with community resources. This holistic approach empowers patients to take an active role in managing their health.
Our patient-centered approach, combined with collaboration, technology, and community support, ensures that patients receive the comprehensive care they need to manage their chronic conditions effectively. Family Health Care is committed to enhancing care quality and improving health outcomes for all individuals with chronic illnesses.
At Family Health Care, we are committed to supporting our patients with chronic conditions through our comprehensive Chronic Care Management (CCM) program. Our goal is to empower you to manage your health more effectively by providing personalized care and continuous support.
Eligibility for Our CCM Program: To be eligible for our CCM services at Family Health Care, our healthcare providers will work closely with you to assess your needs and determine if you would benefit from a coordinated care plan.
Patient-Centered Care: Participation in our CCM program requires your consent. We ensure that you fully understand the program’s benefits, any associated costs, and the importance of sharing health information with our care team for optimal coordination. Your involvement is crucial as we develop a personalized care plan tailored to your health goals, focusing on symptom management, medication adherence, and lifestyle changes to enhance your well-being.
Comprehensive Care Plans: Our care plans are crafted in collaboration with you and your family, emphasizing strategic health management and proactive support. You will have regular follow-ups and 24/7 access to healthcare support, ensuring that your care is continuous and comprehensive.
Collaborative Approach: By enrolling in our CCM program, you become an active participant in your healthcare journey. Our collaborative approach ensures that you receive coordinated care from all your healthcare providers, helping to prevent complications and promote better health outcomes.
Diabetes Management: Family Health Care offers regular blood sugar monitoring, medication management, and personalized lifestyle programs to help prevent complications such as cardiovascular disease and kidney problems.
Hypertension Control: We focus on managing high blood pressure to reduce the risk of heart attacks and strokes. Our team provides monitoring, medication, and guidance on lifestyle changes to maintain optimal blood pressure levels.
Respiratory Health: We manage chronic obstructive pulmonary disease (COPD) and asthma through medication, pulmonary rehabilitation, and lifestyle advice to improve lung function and control symptoms.
Cardiovascular Care: Heart disease management includes regular monitoring, medication, and lifestyle interventions to prevent disease progression and improve heart health.
Kidney Health: For chronic kidney disease, we offer management strategies to slow progression and effectively manage symptoms, with tailored care plans addressing each patient’s unique needs.
Musculoskeletal Support: We manage arthritis, both rheumatoid and osteoarthritis, through medication management, physical therapy referrals, and lifestyle changes to reduce pain and maintain mobility.
At Family Health Care, our chronic care management programs provide a structured approach to managing long-term conditions. We focus on improving outcomes, enhancing patient engagement, and optimizing health, with a dedicated team supporting you every step of the way.
For chronic conditions like diabetes, heart disease, or hypertension, our patients generally schedule follow-up appointments every three to six months. However, if you experience complications or have difficulty managing your condition, more frequent visits may be necessary.
In addition to in-person appointments, Family Health Care offers various ways to stay connected with your healthcare team between visits. This includes phone consultations, virtual appointments, and the use of our patient portal, which allows you to report new symptoms, ask questions, or provide updates on your condition. Our goal is to foster a collaborative approach to chronic care management, ensuring you have continuous support and guidance.
We emphasize the importance of adhering to your recommended visit schedule and being proactive in managing your condition. This means attending all appointments, following your prescribed treatment plan, and maintaining open communication with our healthcare providers. By partnering with Family Health Care, you can help prevent complications, enhance your quality of life, and achieve better health outcomes. For more information, contact us or request an appointment online. We are conveniently located at 1507 NE 150th St, Suite A, Shoreline, WA 98155. We serve patients from Shoreline WA, Seattle WA, Edmonds WA, Woodinville WA, Bothell WA, Lynnwood WA, Kirkland WA, Bellevue WA, and surrounding areas.

Additional Services You May Need
• Weight Loss Management
• Diabetes
• Hypertension
• Geriatric
• Personalized Care
• Botox
• Primary Care
• Musculoskeletal Injuries
• Preventative Care
• Mental Health
• Heart Disease
• Congestive Heart Failure
• Same Day Sick Visits
• Physical Exams
• Chronic Care Management
• Wellness Visits
• Vitamin B12 Injections

Additional Services You May Need
• Weight Loss Management
• Diabetes
• Hypertension
• Geriatric
• Personalized Care
• Botox
• Primary Care
• Musculoskeletal Injuries
• Preventative Care
• Mental Health
• Heart Disease
• Congestive Heart Failure
• Same Day Sick Visits
• Physical Exams
• Chronic Care Management
• Wellness Visits
• Acute Care Visits
• Women’s Health
• Depression
• ADHD
• Asthma
• COPD
• Sleep Apnea
• Gastrointestinal Disorders
• Migraine
• Skin Care
• Facial Rejuvenation
• Microneedling
• Hair Loss & Exosome
• Ailments and Procedures
• Internal Medicine
• Concierge Medicine
• Vitamin B12 Injections
• IV Hydration Therapy