Peak Vista supports patients using a whole-person approach that looks at more than just one visit or one health concern. We consider your physical health, mental health, dental health, and real-life factors that can affect your care — like transportation, income, and other access barriers.
Our Care Coordination team works closely with you and your care team to help make health care easier to understand, easier to manage, and easier to follow.
Care Coordinators help by:
Why This Matters: When your care is organized and supported, it’s easier to stay on track, feel informed, and focus on your health — not the logistics.
Learn more about Peak Vista's Mission, Vision, and Values(opens in a new tab).
Care Coordination at Peak Vista includes different types of support, depending on your needs. Some Care Coordinators work directly with patients, while others provide support behind the scenes to help care stay organized and on track.
How Care Coordinators may connect with you:
Patients with more complex health or care needs may work directly with a Care Coordinator who meets the patients one-on-one. Other members of the Care Coordination team may support your care through phone-based outreach and coordination.
Why This Matters: Having flexible ways to connect helps ensure you can get support in the way that works best for you — whether that’s in person or remotely.
Care Coordination often begins when your provider identifies that you may benefit from extra support. You can also ask your care team about Care Coordination during a visit. Once connected, a Care Coordinator becomes a point of support for your health needs.
This step may include:
Why This Matters: Getting connected early helps ensure you don’t have to manage complex care on your own.
Your Care Coordinator takes time to understand your full health picture. This includes your physical health, mental health, dental care, and everyday factors that affect your ability to get care.You may be asked about your needs, preferences, and what matters most to you.
This step may include:
Why This Matters: Understanding your full situation helps create care that fits your life, not just your diagnosis.
Care Coordinators help connect services and providers so your care plan is easier to follow. They work with your care team to help make sure everyone shares the same information. This helps reduce gaps and confusion in care.
This step may include:
Why This Matters: When your care is organized, you’re less likely to miss important steps or receive mixed messages.
Care Coordination is not a one-time service. Your Care Coordinator may continue to check in with you, help track progress, and adjust support as your needs change. Support can happen during visits or between visits.
This step may include:
Why This Matters: Ongoing support helps keep your care on track and prevents small issues from becoming bigger problems.
Care Coordination is built around your real life and needs. With your permission, Care Coordinators can work with family members or caregivers to support your care. The goal is to make care feel manageable, connected, and supportive.
This step may include:
Why This Matters: Care that adapts to your life helps you feel supported and more confident in managing your health.
Chronic Care Management provides one-on-one support for patients with ongoing or complex health conditions. Care Coordinators help assess needs, identify barriers to care, and support patients over time — not just during appointments.
How this support can help:
Why This Matters: Ongoing support can help patients stay healthier, avoid complications, and feel more confident managing their care day to day.
Care Team Meetings bring everyone involved in a patient’s care together — medical, dental, behavioral health, and support staff. These meetings help ensure the care team shares the same information and goals.
Care team meetings may help with:
Why This Matters: When your care team is aligned, your care feels clearer, more connected, and easier to navigate.
Disease prevention focuses on staying healthy and addressing risks early. Care Coordinators reach out to patients to share education, screenings, and preventive care information.
This may include support with:
Why This Matters: Preventive care can catch problems early and help patients avoid more serious health issues later.
Navigating health care can be confusing, especially when multiple appointments or providers are involved. Care Coordinators help patients schedule and manage appointments across services.
Support may include:
Why This Matters: When appointments are easier to manage, patients are more likely to get the care they need on time.
Staying up to date on immunizations is an important part of preventive care. Care Coordinators help patients understand recommended vaccines and access immunization services.
This support may include:
Why This Matters: Vaccines help protect patients, families, and communities from preventable illnesses.
Understanding your health and care plan is key to staying well. Care Coordinators provide education to help patients better understand their conditions, treatments, and options.
Education support may include:
Why This Matters: When patients understand their care, they are more confident and more likely to follow through on next steps.
Your health is more than one visit or one concern. Integrated care brings different services together to support you as a whole person.
At Peak Vista, integrated care means:
Why This Matters: Understanding how your care fits together helps you feel more confident and informed when making health decisions.
Integrated care teams include medical, dental, behavioral health, and support staff working together to support your health goals.
How Care Coordination helps:
Why This Matters: When your care team works together, your care feels more connected and easier to manage.
Advance care planning helps you think about and share your wishes for future health care if you become very sick or cannot speak for yourself. It focuses on making sure your values and preferences guide your care, even in unexpected situations. Advance care planning is about planning ahead, not about giving up care.
Advance care planning may include:
Why This Matters: Planning ahead helps your care team and loved ones understand your wishes and support you the way you want.
Learn more about Advance Care Planning(opens in a new tab) at Peak Vista.
Advance care planning helps reduce confusion and stress during medical emergencies. It gives you a voice in your care, even if you are unable to speak for yourself. It also helps your loved ones feel more confident that they are honoring your wishes.
Advance care planning can help:
Why This Matters: Clear planning can ease emotional burden and help everyone focus on what matters most to you.
Advance care planning is important for adults of all ages, not just those who are older or seriously ill. Medical emergencies can happen at any time, and planning ahead helps protect your wishes. Advance directives can be updated as your life and health change.
Here are five important facts to know:
Why This Matters: Advance care planning gives you control, clarity, and peace of mind for the future.