Principal Care Management Software for Chronic Care Coordination 

Streamline patient management, care coordination, documentation, and chronic care workflows in one connected platform.

Why Principal Care Management Matters

Patients with serious chronic conditions often require continuous monitoring, proactive follow-ups, and coordinated care beyond traditional office visits. 

Without structured care management workflows, practices may struggle with:

Fragmented patient communication

Missed follow-ups

Inconsistent documentation 

Operational inefficiencies

Limited visibility into ongoing patient care

Principal Care Management (PCM) helps providers move from reactive treatment to continuous, coordinated care delivery focused on improving long-term patient outcomes. 

What is Principal Care Management?

Principal Care Management is a care coordination model focused on patients with a single high-risk chronic condition requiring ongoing clinical management and continuous provider oversight. 

PCM programs are designed to support: 

  • continuous patient engagement  
  • structured care planning  
  • coordinated provider communication  
  • proactive follow-up management  
  • long-term chronic condition monitoring  

This approach enables practices to deliver more personalized and connected care outside episodic office visits. 

What is Principal Care Management Software?

Principal Care Management Software is a connected clinical and operational platform designed to support chronic care workflows, patient management, care coordination, and documentation processes. 

Centralized Chronic Care Management

Enroll and manage PCM patients while documenting ongoing care activities in a single system. Centralizing these workflows allows practices to manage programs more efficiently while reducing administrative complexity.

Care Coordination

Coordinate care across specialty and primary teams to improve continuity of care.

Workflow Automation

Automate administrative tasks to reduce manual burden and operational errors.

Engagement & Follow-ups

Monitor patient engagement and follow-up schedules to ensure no critical care steps are missed in the chronic care journey.

A Comprehensive PCM Ecosystem

Delivering proactive chronic care management at scale.

✓ Care Coordination
✓ Patient Engagement
✓ Chronic Care Planning
✓ Billing Workflows
✓ Communication Tools
✓ Task Management
✓ Documentation
✓ Analytics

Key Features of Principal Care Management Software

Chronic Condition Care Tracking

Monitor patients with ongoing chronic conditions using structured longitudinal care workflows and centralized patient visibility.

Personalized Care Planning

Create patient-centered care plans with measurable treatment goals, interventions, and ongoing progress tracking.

Care Coordination Workflows

Enable collaboration between physicians, specialists, care managers, and clinical staff within one connected workflow.

Follow-Up & Patient Engagement Tools

Automate reminders, communication, and follow-up workflows to improve patient adherence and continuity of care.

Operational Dashboards & Patient Insights

Track patient progress, engagement activity, clinical tasks, and operational performance through centralized dashboards.

Secure Patient Communication

Support ongoing patient engagement through secure communication and coordinated outreach workflows.

Chronic Condition Care Tracking

Monitor patients with ongoing chronic conditions using structured longitudinal care workflows and centralized patient visibility.

Personalized Care Planning

Create patient-centered care plans with measurable treatment goals, interventions, and ongoing progress tracking.