Chronic Care Management

Chronic Care Management at North Idaho Urology

North Idaho Urology understands the interaction of disease states, and the importance of providing top-quality patient healthcare. That’s why we’ve established a new Chronic Care Management program for patients who have two or more chronic conditions and are covered by Medicare. Medicare patients who choose to participate, will receive a monthly phone call from a Care Team Coordinator to review and help manage their chronic conditions.

What is Chronic Care Management?

Chronic Care Management is an initiative started by the Center for Medicare and Medicaid Services (CMS) to encourage medical practices to identify patients with two or more chronic conditions, determine changes in their health, and to help manage these changes. The program is a preventative measure in order to avoid unnecessary emergency room or hospital visits. It is also meant to minimize readmission to hospitals after patient release.

What are chronic conditions?

The Centers for Disease Control and Prevention defines a chronic condition as any condition that has been ongoing for more than one year and requires prolonged medical care. Chronic conditions are also defined as those that limit the patient’s ability to perform basic activities of daily living (ADLs). Activities of daily living include eating (feeding themselves), bathing, dressing, toileting (the ability to independently use the toilet and perform personal hygiene), transferring (the ability to independently get in and out of a bed or chair), and the ability to maintain continence (bladder and bowel control).

Care Team Coordinators work with our patients each month to…

  • Ensure that their billing questions are answered.
  • Answer patient questions about their medical conditions and treatments.
  • Review their current medications.
  • Ensure that patients are receiving medical attention in a timely manner.
  • Assist patients with transitioning their care to the necessary medical providers.
  • Assist patients with physician referrals and authorizations.


Barb S.
“I was passing through Idaho this summer and contracted a severe UTI requiring immediate attention for complicated reasons I won't go into. I called this office hoping by some miracle. They were wonderful, and got me in immediately.”
Randy M.
“OMG!!!! The Rezum procedure was performed in mid-November 2018. It's finally working! I've finally been able to sleep. Instead of getting up 5,6,7 times each night, for the past 3 nights, I've only been up once per night. Yippe Ki Yah!”
Jim B.
“Dr David Flores performed a prostate procedure on me this last week. The results are already amazing. Dr. Flores made me feel very comfortable with some very uncomfortable procedures. I highly recommend him!!!
Matthew F.
“Had a non scapel vasectomy by Dr. Ellison today. The whole process from checking in to the procedure itself was exceptional. Thank you so much for making it such a comfortable experience (as much as can be expected with a vasectomy)!”

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