Advanced Illness Care
Program objectives and services
The AIC program’s primary objective is to support the best possible quality of life for those living with serious illness. There are three primary strategies utilized to meet this objective.
1. Coordination of care Our expert social workers and nurse case managers coordinate with the patient’s primary care providers, specialists and other members of the health care team across the continuum of care. They also identify additional resources such as home health, in-home primary care and/or hospice when appropriate.
2. Symptom management We use ongoing patient education and medical management to improve symptoms.
3. Patient goals and preferences We identify and document patients’ goals of care and preferences for end-of-life care. Whenever possible, we also identify a health care representative.
We hope that our patient-driven, high-touch support enables AIC patients to avoid unnecessary hospitalizations and emergency visits, benefiting the patient as well as the health system.
The goal for our patients is to relieve suffering and give our patients a voice to determine how they want their care delivered.
“Whatever I need in the moment, they are there, and I can’t tell you what that means to me. This service has been amazing.”