“My coach told me I should switch to a doctor who spoke Spanish. Now I understand what’s going on.”
Last Updated May 23, 2022

Coach Jesus had to educate patient Antonio about his doctor’s rightful role in his ongoing health. He assumed doctors were only there for illness, not wellness. The first step was switching to a Spanish‐speaking provider, which facilitated communication on ...

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“My coach found every resource I needed ‐ and it wasn’t easy!”
Last Updated May 23, 2022

A Bodfish, CA resident gave Coach Ida a run for her care transition money. In his 60s with multiple chronic conditions and recovering from addiction, he needed post‐discharge food, transportation and legal aid. The Bakersfield meals on wheels program didn’t...

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“My coach helped me understand the importance of communicating with my doctor.”
Last Updated January 11, 2021

Margarite was grateful for the visit from her coach, Adrine, and her encouragement and guidance on following up with the doctor. She had not planned to do so, but because Adrine helped her identify some medication red flags, she realized the wisdom of an ed...

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“My mom had multiple prescriptions for the same thing. The Personal Health Record has helped us make sense of things.”
Last Updated January 11, 2021

Before hospitalization, Mabel had been in charge of her own medications. But after discharge, her escalating confusion concerned her family, so they concentrated the coaching session on medication reconciliation. In that process, Mabel’s daughter realized t...

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“My mother couldn’t get to her doctor appointments. Her coach found a solution.”
Last Updated January 11, 2021

Maria’s mom was released from the hospital following treatment for an infection on her leg caused by a dog bite. Her mom was also showing signs of memory problems that made it difficult for her to get to doctor appointments without assistance. Unfortunately...

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“The medication cost was too high. My coach helped me fix that.”
Last Updated January 11, 2021

After being released from the hospital, Wayne was prescribed medication for his condition. The problem was that the medication had a co-pay of $120, too much for Wayne and his wife to pay on their fixed income. Wayne’s transitions coach advised him to conta...

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“Wow! The hospital actually followed me home! In all my years of medical care, not once did the hospital contact me at home. This is exciting.”
Last Updated May 23, 2022

— CCTP Patient Partners’ Community Care Transitions Coaches are trained to help you get the most out of the health care system, and community programs and services. They understand how hard it can be to manage doctor appointments, remember which medications...

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Partners contributes chapter to The Oxford Handbook of Social Work in Health and Aging
Last Updated May 23, 2022

Partners CEO, June Simmons, and Sandy Atkins, Vice-President, Strategic Initiatives, have contributed a chapter to The Oxford Handbook of Social Work in Health and Aging, 2nd edition, the first social work reference book to combine the fields of health...

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