Through person-centered care management VVCC is providing transitional care services to hundreds of patients referred from the local healthcare system. RN Care Manager provides person-centered assessments and writes care plans with support from team of volunteer retired nurses.  RN Care Manager provides training and case conferencing support to care management team. 

Person-centered care plans are implemented in conjunction with client input through follow-up visits and phone contact by the One-Call Center.  

For details of how the program works and its effectiveness read this 2016 Patient Centered Care Program Report.