About SAMBA

SAMBA is a self-management support program, which care coaches work with patients, family and care teams to develop and implement a plan to improve an individual’s self-management skills and overall quality of life.  

The Care Coach deploys a set of tools to clarify patients’ healthcare goals with an emphasis on asthma, identify barriers to achieving those goals, and provide a menu of options for addressing the specific barriers identified.

The Care Coach support the patient through telephone calls and in-person encounters, and exchange information with the patients’ healthcare providers to ensure that all members of the care team and the patients and caregivers have an opportunity to contribute to the plan of care and remain current on the patient’s progress.

 

 

SAMBA Guiding Framework

Comprehensive

Comprehensiveness

SAMBA embraces the enormous research literature demonstrating that socioeconomic, psychosocial, cognitive, environmental, and health status-related factors influence chronic illness self-care and health outcomes in adults. Improvements in self-care behaviors and health outcomes can only be achieved by addressing an individual’s multiple barriers to achieving good outcomes.
Efficiency

Efficiency

The attention of individuals we seek to support and the resources needed to support them are limited. Identification of barriers and steps taken to address them can be performed systematically and in a targeted fashion to achieve greater efficiency than that achieved by typical social work or care coach interventions.
SVG_Icons

Sustainability

To succeed, care management/ coaching models must be flexible to operate smoothly within environments with varying workflows and cultures and support new models of healthcare that strive for value over volume. Achieving these goals requires the collaboration of the key stakeholders: patients, clinicians, academics, administrators, community and hospital-based institutions.
Engagement

Engagement

Engagement is the cornerstone of success for care management/care coaching programs. Soliciting the patient’s wishes and acting on them
is of paramount importance.