Pioneer Advocacy Team

Care Coordination:

• Crisis intervention and support
• Supporting patients and caregivers in managing life changes associated with medical conditions
• Providing patient advocacy
• Helping patients identify social determinants that create barriers to a healthier life
• Helping patient identify positive solutions to existing
• Helping patients and caregivers understand care plans
• Helping patients and family members adjust to illness and/or hospitalization
• Providing referrals to appropriate community agencies
• Providing In-home visits
• Providing follow-up phone calls upon discharge for the hospital or ED

Transportation

PCAT Team Community Coalition Kearny County:

Pathways to a Healthy Kansas Grant

Patient Assistance Program (medication assistance):

Assist low-income patients access prescribed medications

Presumptive Eligibility (Medicaid):

Assistance with completing Medicaid applications

Chronic Disease Self-Management Education Classes

Chronic Heart Failure Self-Management Education Classes