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Chronic Disease Management

The goal of the program is to use acquired skills to support patients with chronic diseases which often result in re-admissions to hospitals. Gilead staff assist patients to self-manage their chronic illness, remain in their homes longer, and prevent hospital re-admissions.

Our staff are trained to provided education on adult learning, health literacy, and behavioral techniques to help patients set their own goals and boost their self-confidence in self-management of their chronic illness.

We focus on diagnoses that are high risk for hospital re-admissions which includes the following:

•Congestive Heart Failure (CHF)



•Chronic Obstructive Pulmonary Disease (COPD)

•Acute Myocardial Infarction (Heart Attack)





Prothrombin time (PT) is a blood test that measures how long it takes blood to clot. A prothrombin time test can be used to check for bleeding problems. PT is also used to check whether medicine to prevent blood clots is working.
A PT test may also be called an INR test. INR (international normalized ratio) stands for a way of standardizing the results of prothrombin time tests, no matter the testing method. It lets your doctor understand results in the same way even when they come from different labs and different test methods. In some labs, only the INR is reported and the PT is not reported.

At Gilead, we utilize PT/INR point-of-care??? device that provides real-time results that are called in to the physician that allows for immediate medication titration.