Support for the whole person.
A plan that stays connected.
Programs are tailored to clinical needs, patient goals, eligibility, and the care already in place. Our clinical programs are delivered by telehealth, so patients anywhere in Texas can get support without traveling to an office.
Chronic Care Management
Ongoing support for people living with multiple chronic conditions. We help patients understand their care plan, navigate medications and follow-up, and stay connected to their clinical team.
CCM · Care planning · Medication coordinationLearn more 02 / EMOTIONAL WELL-BEINGAnxiety and/or Depression
Emotional health belongs in the care plan. This program brings screening, regular outreach, care coordination, and connection to appropriate resources into the management of chronic illness.
Screening · Patient engagement · Caregiver supportLearn more 03 / COMFORT & QUALITY OF LIFEPalliative Care
Compassionate support for people living with serious illness. We focus on symptom concerns, goals of care, family communication, and coordination with the patient's treating providers.
Serious-illness support · Goals of care · NavigationLearn more 04 / STRONGER TRANSITIONSTransitional Care Management
Support after a hospital or qualifying facility discharge, including timely outreach, medication reconciliation, follow-up coordination, and help navigating the next phase of recovery.
TCM · Post-discharge follow-up · Care handoffsLearn more 05 / PROACTIVE SUPPORTChronic Condition Programs
Focused support for heart failure, COPD, diabetes, and kidney disease, connecting education, medication safety, symptom awareness, and appropriate clinical escalation.
Condition education · Risk awareness · Follow-throughRead below 06 / EVERYDAY CONFIDENCEWellness & Care Navigation
Help with preventive care, annual wellness planning, appointments, community resources, and caregiver questions. We work to make the next step clearer for patients and families.
Wellness planning · Social needs · Resource connectionRead below 07 / IN-PERSON PARTNER CAREWound Care
Advanced, high-tech mobile wound care through our partner, Trinity Mobile Wound Care, for patients in nursing facilities, assisted living centers, and residential homes.
Mobile · In person · Through our partnerLearn moreOne patient.
One team.
One coordinated plan.
Programs are tailored to each person's clinical needs, goals, insurance coverage, and eligibility. Our team helps work out which programs fit, and works alongside the care the patient already has in place.
Because our programs are delivered by telehealth, there is no need to travel to an office, wherever in Texas the patient lives.
Coverage and out-of-pocket costs depend on the program, insurance benefits, and individual eligibility. Our team reviews available benefit information and discusses potential patient costs before enrollment.
Chronic Condition
Programs
Focused support for heart failure, COPD, diabetes, and kidney disease, connecting education, medication safety, symptom awareness, and appropriate clinical escalation.
- Heart failure
- COPD
- Diabetes
- Kidney disease
- Condition education
- Medication safety
- Symptom awareness and risk awareness
- Appropriate clinical escalation and follow-through
From the first conversation
to a coordinated plan.
Connect
A patient, family member, or healthcare partner contacts Trinity to discuss a need.
Understand
We review clinical needs, program fit, coverage, and the patient's existing care relationships.
Plan together
With patient consent, we establish goals and coordinate the next steps with the care team.
Stay connected
Ongoing outreach, education, and communication help keep the plan moving forward.
Better care begins
with a conversation.
Refer a patient, ask about a program, or explore a partnership. Our intake team can help identify the right next step. Telehealth across all of Texas.