Care Coordination
San Ysidro Health offers care coordination services to help patients with their individual healthcare journeys.
As part of this Program, patients will be connected with a Care Coordinator, who will provide them with hands-on support. San Ysidro Health offers care coordination services to help patients with their individual healthcare journeys.
As part of this Program, patients will be connected with a Care Coordinator, who will provide them with hands-on support including:
- Support in improving overall health and in making healthier lifestyle choices
- Assistance with healthcare services, including preventive and maintenance medical appointments and referrals to different departments based on patient needs
- Education on medication and how to manage health conditions such as diabetes, hypertension, and others
- Guidance regarding nutrition and exercise
- Linkage to different San Ysidro Health resources, including behavioral health, social services, referrals, health education, the home health program, and other programs focused on patients with diabetes
- One-on-one follow-up every two to three weeks between visits with their primary care provider (follow-up is provided in-person, over the phone, or via telehealth video calls)
- Education on due care guidelines such as vaccinations, tests, and medical exams
- Access to group sessions of the Project Dulce Program for patients with diabetes. Classes are provided in-person and online in three different languages (English, Spanish, and Arabic).
Care coordination services are available to all registered patients of San Ysidro Health.
If interested in accessing these services, patients can notify their care team or call (619) 662-4100 and ask to be scheduled with a Care Coordinator.
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Why San Ysidro Health
At San Ysidro Health, patient-centered is our way of saying that patients are our top priority.
San Ysidro Health patients enjoy access to comprehensive medical, dental, and behavioral health services, as well as support services and programs that help with other needs like food, housing, and health education. Our providers and care teams are committed to producing the best possible results for patients, while giving them the tools to take an active role in their health and well-being. We are proud that over 109,000 people across San Diego County have chosen San Ysidro Health as their medical home.
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