Ashok Sudarshan

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hospitals & health care home-based care polychronic care remote monitoring nurse practitioner medication adherence chronic illness management telehealth services er visit reduction patient engagement longitudinal care whole-person care healthcare access chronic disease management transitional care support patient education social determinants of health health plan collaboration personalized care plans patient satisfaction reduction in hospital readmissions care coordination health equity community resources patient advocacy 24/7 healthcare access healthcare technology sick day management chronic heart failure care diabetes management copd treatment hypertension management behavioral health integration patient navigation telephonic visits home visits health risk assessments patient follow-up care gap closure cost-effective care solutions patient-centered approach chronic pain management chronic coronary disease patient loyalty quality of life improvement clinical support teams home-centered clinical model hospital & health care