Creative Links to BridgePoint Advocacy
Personal Mission: 20 years of LPN experience in the healthcare industry offering chronic care coordination and patient care advocacy for acute/chronic care filling a huge gap in healthcare by offering support between healthcare visits. Please note, I am not a physician, and I cannot diagnose, but with consent, I will offer support being a patients liaison providing ongoing personalized support for acute/chronic conditions.
My goal: To empower individuals living with chronic conditions by providing personalized, in-between-visit care coordination, education, and advocacy—reducing hospitalizations, improving health outcomes, and supporting caregivers in navigating the healthcare system.
Education:
- LPN Compact License - LA, since 2005
- Bachelors General Sciences with concentration Applied Sciences, anticipated graduation 2026
- Bachelors in Health Information Management, anticipated graduation 2026
Who could benefit from CCM:
- Need education regarding commobidities
- Need education regarding medications
- Needs motivational interviewing to help them make better lifestyle choices
- Patient is having issues with uncontrolled symptoms realted to chronic conditions
- Patient frequently calls the clinic
- Patient is frequently in ER or Hospital for chronic illness like: Diabetes, CHF, COPD, and more
- Recently discharge patients at risk of readmission
- Family caregivers who need guidance
- Patients with mobility or transportation challenges
- Low-income or underserved populations
Medicare
CCM / Education
- Medicare offers a program a called Chronic Care Management(CCM) with only one provider offering services
- Patients are encouraged to sign up to help with multiple conditions by monitoring the condition to ensure the treatment by your physician is working; reducing going to ER/Hospital
- Provide patient advocacy and support by reminding patients of physician appointments, appointment of labs / test due, and to provide education
- Advocate will contact patient Weekly or Monthly to help you achieve your goals
- Post-discharge / transition recovery
- Diabetes
- Depression
- COPD
- Heart failure
- CKD / ESRD
- A-fib
- Alzheimer's disease
- Anemia
- Cancer
- Ischemic heart disease
- Parkinson's disease
- Stroke / TIA
- Osteoporosis
- Hyperthyroidism
- Hypertension*
- Asthma
- Pneumonia
- Hyperlipidemia*
- AMI
- Rheumatoid / Osteoarthritis*
*Chronic Conditions Warehouse (CCW), Medicare Chronic Condition Charts 2025