The innovative Flagler Advanced Care Services (FACS) provides home-based care coordination with a central focus on the patient’s own goals of care. Modeled in partnership with C-TAC Innovations, the implementation affiliate of the nationally recognized Coalition to Transform Advanced Care (C-TAC), the program is designed to improve the level of care for people with serious, late-stage chronic illnesses, moving the focus of care out of the hospital and into wherever the patient calls home within their community. The goal is to ensure patients with advanced illness receive comprehensive, high quality, personalized care that is consistent with their goals and values while honoring their dignity and quality of life.
As part of the Flagler Advanced Care Services program, Alivia Care provides continuous care coordination, ensuring the patient and caregiver don’t feel forgotten once they’re home. The patient moves from receiving around-the-clock care in the hospital to being at home and ultimately responsible for their own care with the support of their caregiver. The goal of Alivia Care is to provide care all ways and to care always. Complex cases of advanced illness typically involve multiple physicians, medicine management, medical protocols, and impact the patient’s physical, psychological, emotional, and spiritual well-being. Under the Flagler Advanced Care Services program, the Alivia Care interdisciplinary team offers in person and telephonic nurse-led support and symptom management, allowing the patient to control their condition and enjoy an improved quality of life in the comfort of their home. We’ll be by the patient and caregiver’s side every step of the way, all ways and always.
This is the first and only collaborative effort in Northeast Florida between a hospital and insurance company for a new care model provided by Alivia Care. Healthcare providers refer patients to the program and act as an extension of the patient’s primary care and specialty physicians. If the patient meets the eligibility criteria, there is no out–of-pocket cost for services or support. The Flagler Advanced Care Services program offers an additional layer of support to the patient, their caregivers, and their physicians.
Always seeking innovative ways to deliver quality services, the partners’ leadership recognized the need to offer specialized, person-centered, complex care management and coordinate treatment for patients so each may live better with late-stage or advanced illness (i.e.: COPD, cancer, heart disease, dementia).
Together, these leading organizations are proud to launch this nationally acclaimed program in the Southeastern United States as a model in St. Johns County. To find out if Flagler Advanced Care Services is right for a patient or a family member, call (904) 417-6052 or visit www.FlaglerHospital.org/AdvancedCare
About the Collaborative Partners
Alivia Care is a home-based care coordination service for patients, providing complex care management and a support system to enhance the quality of life of a patient and their caregivers when facing the complex issues of a life-threatening illness. After assessing the patient and caregiver’s goals of care, a team of professionals supports the patient’s physical, psychological, emotional, and spiritual needs as they learn to live better with advanced illness.
First Coast Health Alliance
First Coast Health Alliance (FCHA) is a Physician Hospital Organization (PHO) consisting of Flagler Hospital and 186 independent community physicians. FCHA operates an Accountable Care Organization (ACO) in Northeast Florida serving both Medicare and Florida Blue patients.
Established in 1889, Flagler Hospital is a comprehensive 335-bed health system located in St. Augustine, FL. The hospital is ranked among the top 5% of all hospitals in the nation for clinical excellence by Healthgrades. Flagler Hospital’s commitment to quality has resulted in numerous national accreditations including designation as a Primary Stroke Care Center, ANCC Magnet Status for Nursing Excellence, national accreditation for its total hip and total knee replacement programs and accreditation of its Cancer Institute by the American College of Surgeons Commission on Cancer.