We provide treatment in the patient's preferred language – over 70 languages available. Click here to learn more

Million Hearts is a public-private initiative to prevent 1 million heart attacks and strokes by 2017 with improved care and empowering Americans to make heart-healthy choices

The National Institute on Aging (NIA) is investigating ways to support what is known as "active life expectancy"—the time in late life free of disability.

Diabetes is the most controllable chronic disease, oftentimes managed with a healthy diet and exercise

Only about half (52%) of the 70 million people with high blood pressure have their condition under control.

What is a Chronic Disease?

A Chronic Disease is a long-lasting condition that can be controlled but not cured. According to the Centers for Disease Control, it is the leading cause of death and disability in the United States - accounting for 70% of all deaths.

Although chronic diseases are among the most common and costly health problems, they are also among the most preventable. According to the Center for Managing Chronic Disease, a coordinated approach to care that includes patient education, effective delivery of medical care, and family and caregiver support results in healthier patients, lower health care costs, and vast improvement in family well-being.

Premier Point Home Health's care plans fully support patients' individual needs, help to prevent hospital readmissions, and allow patients to enjoy a healthier lifestyle.

To learn more, click on the links above, or contact us to schedule an in person consultation. You can also download a patient referral form.

What is Congestive Heart Failure?

Congestive heart failure describes the inability of the heart to adequately pump the amount of blood needed, causing fluid to leak from capillary blood vessels. The symptoms of congestive heart failure can include fatigue, shortness of breath, and swelling, and it is one of the leading cause of hospitalizations nationwide.

Reasons for heart failure vary, however, most doctors agree that a precise diagnosis and a coordinated treatment plan that often includes education, lifestyle modifications, addressing potentially reversible factors, appropriate therapies, and properly taking prescribed medications allow patients to effectively manage their condition without repeat visits to the hospital.
 

The Premier Point Approach


Premier Point understands each patient has different coping skills and reactions when dealing with CHF diagnosis, and utilizes a proprietary Care Navigation Program to optimize patients' outcomes based upon their unique needs. Our Care Programs include:

  • An initial consultation with the patient and family or caregiver to review the physician's prescribed plan of treatment and the patient's goals and potential outcomes
  • A review of the patient's current diet regimen including salt intact, food preparation, and establishing an appropriate diet plan or referral to a dietician
  • Evaluating the need for additional outside services or coordination with a medical social worker
  • Ongoing reviews of their prescribed medications including proper dosages, creating refill reminders to maintain an adequate supply, and educating the patient on signs and symptoms of potential drug interactions
  • Evaluating the patient for enrollment in Premier Point's exclusive automated appointment reminder system to safeguard against missed medical appointments that could compromise their condition
  • Teaching the patient how to recognize changes in their health and adaptive behaviors to avoid serious illnesses

All of our CHF patients are assessed for enrollment in our TeleHealth Monitoring program. We at Premier Point understand that many CHF patients need daily monitoring to ensure strict adherence to their physician's prescribed plan of treatment. We also understand that modest biometric changes could seriously compromise patients' health, or even result in hospital admission.

Our TeleHealth Monitoring system provides 24/7 automatic transmissions of our patients' key biometric readings, and special alerts to our team of clinicians if metrics fall outside of designated parameters to ensure prompt attention is initiated. The equipment is fully self-contained and does not require home internet or telephone service.

The entire Premier Point team has a profound commitment to delivering personalized service every time for every patient. Our team of clinicians have an average of 10 years of experience delivering expert care for a variety of conditions, and support the new vision of health care in which patients with chronic diseases are living healthier, fulfilling lives.  Contact us to schedule a personal consultation to learn more, or download a patient referral form to initiate care.

What is Chronic Obstructive Pulmonary Disease (COPD)?

The air that you breathe goes down your windpipe into tubes in your lungs that end in tiny, elastic-like air sacs. When you breathe in, each air sac fills up with air. When you breathe out, the air sacs deflate.

Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs due to a loss of elasticity in the air sacs, inflamed or thickening of the airway walls, excessive mucus in the airways, or destruction of the airway walls, and is usually attributed to exposure to irritating gases or particulate matter such as cigarette smoke.

Symptoms of COPD include:

 
  • Shortness of breath or a lack of energy
  • Wheezing
  • Chest tightness
  • Excess mucus in the lungs or a chronic cough that produces sputum
  • Frequent respiratory infections

People with COPD are also at increased risk of developing a variety of other conditions including heart disease and lung cancer.

COPD has no cure yet, and doctors do not know how to reverse the damage to the airways and lungs, but it is treatable with medication and lifestyle changes that make patients feel better and slow the progress of the disease.

The Premier Point Approach


Due to the debilitating nature of COPD and the difficulties patients experience completing daily tasks, it can place a significant burden on patients and family members, and often results in higher readmission rates than other types of chronic diseases.

Premier Point clinicians actively work with referring physicians to identify patients designated as "very high risk" for hospital readmission, and develop an enhanced care plan with more stringent follow up and communication procedures for the first 30 days post discharge.

Our treatment plans are executed by trained clinicians with significant experience in managing all levels of COPD and include:

  • Disease education for the patient, family members, and caregivers including symptoms of asthma and emphysema, and identifying and implementing daily lifestyle modifications to avoid outbreaks or extreme exhaustion
  • Assessment and coordinating with primary physicians to secure referrals for pulmonary rehabilitation or oxygen therapy which typically includes special breathing techniques and other means of coping with COPD
  • Monitoring the patient for significant fluid retention that may indicate early diastolic heart failure development and assessing sputum color and amount for signs of developing pneumonia
  • Providing instructions on the proper usage of short-acting bronchodilators to help relieve sudden COPD symptoms
  • Capturing a detailed sleep pattern history to determine if the patient is experiencing lower oxygen saturations or obstructive sleep apnea, requiring additional care
  • Working with the patient to develop an appropriate exercise regimen with the desired outcome of increasing energy levels, improving circulation, reducing symptoms, and increasing endurance

 

We also help patients adhere to medical appointment schedules including securing transportation service, if required, and coordinating with providers to deliver in home lab and diagnostic testing, if the patient's mobility is restricted.

Our goal is to help COPD patients manage the symptoms of the disease by providing a higher level of education, care, and support - all in the comfort and security of their own homes.  Contact us to learn more about our available services for COPD patients, or download a patient referral form to initiate care.

What is Diabetes?

Diabetes is the condition in which the body does not properly process food for use as energy. Most of the food we eat is turned into glucose for our bodies to use for energy. The pancreas makes insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn't make enough insulin or can't use its own insulin as well as it should, which causes sugars to build up in the blood.

Causes of type 1 diabetes, also known as insulin-dependent diabetes mellitus or juvenile diabetes, include autoimmune, genetic, and environmental factors such as a virus. Causes of type II diabetes include older age, obesity, family history of diabetes, prior history of gestational diabetes, impaired glucose tolerance, physical inactivity, and race/ethnicity.

Some people, especially those with prediabetes, may not experience symptoms initially. In type 1 diabetes, symptoms tend to come on quickly and be more severe. Symptoms for type 1 or type 2 diabetes could include:

  • Increased thirst and extreme hunger
  • Frequent urination
  • Fatigue and irritability
  • Blurred vision
  • Slow-healing sores
  • Frequent infections, such as gums or skin infections and vaginal infections

Treatment could include diet control, exercise, home blood glucose testing, and in some cases, oral medication and/or insulin. Approximately 40 percent of people with type 2 diabetes require insulin injections.

The Premier Point Approach


Diabetes care is complex and requires that many issues, beyond glycemic control, be addressed. The Premier Point clinicians help to facilitate coordination of care with the entire medical team including the primary physician and dietitian, pharmacist, and medical social worker, if required. The clinician also works with the patient, family members, and caregivers to establish realistic goals and self-management tactics that take into consideration the patient's age, daily schedule, eating patterns, cultural factors and support system, and the presence of complications of diabetes or other medical conditions. Our care plans include:

  • A full body assessment including checking feet for signs of open areas or wounds and capturing a history of dental and genitourinary infections
  • Teaching self-injection techniques, how to find appropriate injection sites, and changes in skin or other indications that require follow-up care
  • Explaining medication side effects and appropriate responses to different symptoms including, change in diet, bed rest, or symptoms that require follow up care
  • How to properly manage medication supplies, ordering refills, and coordination with home-delivery pharmacists
  • Coordinating in-home podiatry or dietician referrals

Many patients are able to reap the benefits of long-term glycemic control with the help and support of a medical team highly skilled in the delivery of care for diabetic patients. Premier Point clinicians have an average of 10 years of experience, and treat hundreds of diabetic patients annually. We are committed to delivering exceptional care like no other.  To learn more, contact us today.  You can also download a patient referral form to initiate care.

What is Hypertension (High Blood Pressure)?

Approximately 33% of all people in the US over the age of 20 years have hypertension, and are taking antihypertensive medications, according to a study conducted by the National Center for Health Statistics.

Blood pressure is the force exerted by the blood against the walls of blood vessels, and the magnitude of this force depends on the cardiac output and the resistance of the blood vessels. Hypertension is a blood pressure higher than 140 over 90 mmHg (millimeters of mercury).

Blood pressure has a natural variation - it lowers during sleep, and rises in response to excitement, anxiety and physical activity.  Elevated readings over an extended period of time, however, are contributing factors to a variety of illnesses including kidney disease, heart attacks, and strokes.

Specific causes of high blood pressure are unknown, but is most often attributed to lifestyle factors such as physical inactivity, a salt-rich diet created by processed and fatty foods, and alcohol and tobacco use. Additional factors that contribute to a greater likelihood of hypertension include:

  • Size - being overweight or obese, especially abdominal obesity
  • Age - hypertension is higher in people over 60 years of age
  • Race - African-American adults are at higher risk than white or Hispanic American adults
  • Sex - men are more prone at younger ages while women are more prone at older ages
  • Family history and chronic stress

Lifestyle changes is the most regularly initiated course of treatment for hypertension, and it can be as effective as drug treatment with the added advantage of positive effects on heart health.

The Premier Point Approach


Premier Point clinicians rely heavily on communication and education to help patients understand and manage behaviors that lead to hypertension. Our patients are provided with a blood pressure monitor (if one is not available in the home), taught how to properly take their blood pressure, and the importance of establishing a daily blood pressure log for review during appointments with their primary physician.

Based upon each patient's specific diagnosis, identified contributing factors, and course of treatment prescribed by the primary physician, care plans can include:

  • Working with patients to make necessary dietary adjustments
  • Coordinate with physical therapist to establish an exercise program and/or weight control techniques
  • Teaching patients how to manage elevated blood pressure readings
  • Educating patients on the hazards of smoking and excessive drinking
  • Helping patients to establish a routine for taking medications, and facilitating referrals to medical social workers to assist patients having difficulty securing prescribed medications due to cost and other related factors

Helping our patients to quickly adopt lifestyle changes, providing them with the necessary tools at the onset of treatment to monitor their blood pressure, and teaching them how to identify the activities that positively and negatively affect their blood pressure has resulted in significantly lower hospital readmission rates for our hypertension patients, which translates to lower overall costs and happier, healthier lives – that's the Premier Point difference.  Contact us to schedule a personal consultation to learn more, or download a patient referral form to initiate care.