Disease Management Programs Improve Adherence to Evidence-Based Processes and Outcomes by Targeting Sickest Patients and Working Closely With Physicians
A hospital-based outpatient disease management program serves patients with asthma, chronic heart failure, and diabetes and offers smoking cessation services to smokers. Unlike traditional disease management programs, this initiative heavily involves physicians in the initial referral and throughout the process and targets services toward the sickest patients (rather than to all patients with the condition).
Postdischarge Care Management Integrates Medical and Psychosocial Care of Low-Income Elderly Patients
An interdisciplinary care management program that integrates medical and social care for low-income elderly patients with chronic illnesses reduces care costs and improves self-reported health status.
Chronic Care and Disease Management Improves Health, Reduces Costs for Patients With Multiple Chronic Conditions in an Integrated Health System
The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.
Health Plan's Multifaceted Strategy Involving Care Coordination, Disease Management and Physician Incentives Leads to Better Outcomes and Reduced Costs for Medicare Advantage Enrollees
HealthSpring's Partnership for Quality program offers bonuses to physician practices and onsite care coordination and disease management support, leading to significantly better outcomes and reduced costs for Medicare Advantage enrollees.
Inpatient Education and Counseling and Postdischarge Followup Lead to Improved Health for Patients With Diabetes and/or Obesity
The Hospital of the University of Pennsylvania's Transitions in Care program bridges the gap between hospital discharge and outpatient followup care for patients who are obese and/or have diabetes, leading to improvements in physical health status.
Show Innovation Attempts
Show Policy Profiles
Road to Health Toolkit Training Guide
The Road to Health Training Guide is designed for people who develop or offer train-the-trainer workshops and for community health workers who work with people who are Hispanic/Latino or African American/African ancestry.
2008 National Healthcare Quality Report
The 2008 National Healthcare Quality Report (NHQR) is a comprehensive overview of the quality of health care in the United States. The 2008 report focuses on the state of health care quality for a group of 45 core report measures that represent the most important and scientifically credible measures of quality for the Nation.
2009 National Healthcare Quality Report
The key function of the National Healthcare Quality Report (NHQR) is to summarize the state of health care quality for the Nation and report on progress and opportunities for improving health care quality, as mandated by the U.S. Congress.
2010 National Healthcare Disparities Report
The purpose of the National Healthcare Disparities Report is to identify the differences or gaps through which some populations receive poor or worse care than others and to track how these gaps are changing over time.
2010 National Healthcare Quality Report
The key function of the National Healthcare Quality Report (NHQR) is to summarize the state of health care quality for the nation and report on progress and opportunities for improving health care quality, as mandated by the U.S. Congress.