Give specialty and primary care teams a dedicated workspace for one serious chronic condition—care plans, monthly outreach, time capture, and physician visibility—without burying the work in side spreadsheets.
Principal Care Management helps specialty and primary care teams manage patients whose care is dominated by a single serious chronic condition. Our PCM workspace supports care plans, monthly outreach, time capture, and physician visibility—so the work between visits is documented and billable when appropriate.
Organize PCM work around the single high-risk condition that dominates the patient's care—not a generic task list that mixes unrelated problems.
Document outreach, education, and coordination against the treating physician's plan so month-end review is straightforward for specialty panels.
Give supervising providers summaries and sign-off paths so they can oversee PCM without re-reading every note in the EHR.
PCM patients often need between-visit support that stays tightly focused on the condition your specialty manages. ZimalCloud keeps the plan, outreach, and physician oversight in one place.
Build a repeatable PCM workflow your specialty or primary care team can scale with confidence.
Confirm eligibility for single high-risk condition management and capture patient consent.
Document goals, interventions, and barriers focused on the principal chronic condition.
Conduct outreach and education with time and activity logged against the patient.
Revise the plan when status changes and coordinate with the broader care team as needed.
Close the monthly cycle with summaries the treating provider can review and sign off on.
Support disease-focused care management without forcing your team into generic chronic care workflows.
Filter patients by diagnosis, risk, and last contact for focused outreach.
Organize goals, interventions, and barriers for the principal condition.
Capture monthly PCM work with context for review and supervision.
See who still needs contact this month before the window closes.
Support treating physician review aligned to your PCM workflow.
Track enrollment, activity, and workload across your PCM panel.
Specialty practices and primary care clinics managing patients with a single high-risk chronic illness who need structured between-visit support.
Share your specialty, panel size, and current PCM workflow. We will focus on the condition management model your team actually runs.