Educate patients, families, and caregivers on Vynca services, anticipatory guidance related to the patient’s serious illness and potential complications, symptom management, and medication tracking—reinforcing the importance of contacting the care team first to help prevent exacerbations and unnecessary hospital admissions. Engage in care coordination activities, ensuring timely documentation updates and communication with primary care providers, other community providers, care team members including family and caregivers, home health agency staff, and any other care provider.