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).
Heart Failure Disease Management Improves Outcomes and Reduces Costs
Essentia Health Heart and Vascular Center created a heart failure program combining chronic care and disease management principles to improve outcomes and reduce costs associated with heart failure care.
Managed Care Organization and Visiting Nurse Association Offer Standardized Education to Elderly Heart Failure Patients, Improving Self-Management and Reducing Readmissions
Kaiser Permanente Colorado and the Visiting Nurse Association in Denver jointly offer intense, consistent education to elderly heart failure patients discharged from the hospital in need of home-based skilled nursing care, leading to improved knowledge and self-management skills and fewer readmissions.
Adding Nurse Practitioners and Creating a Multidisciplinary Care Team Reduce Length of Stay and Costs at Academic Medical Center
Adding a nurse practitioner and a multidisciplinary team reduced length of stay and costs at an academic medical center.
Case Managers Remotely Monitor Chronically Ill Medicare Beneficiaries Each Day, Reducing Mortality and Costs
Case managers remotely monitor Medicare beneficiaries with chronic conditions via a messaging device that asks and records answers to disease-specific and general health questions each day, leading to lower mortality and costs.
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Diabetes Tools & Resources
These tools are a set of instruments to help patients create personalized action plans to lead a healthier lifestyle.
Mission: Lifeline Tools and Resources
Heart Attack Risk Calculator
This Web site provides hospitals and health systems tools and resources to improve their systems of care when responding to a patient with STEMI or out-of-hospital cardiac arrest.
This risk assessment tool, for people age 20 or older, provides information to assess a person’s risk for heart disease, heart attack, or other future heart problems.
My Life Check
This online assessment tool can help consumers learn the state of their heart and what they can do to live a better life.
Get With The GuidelinesSM Toolbox
Get With The GuidelinesSM (GWTG) is an evidence-based program for in-hospital quality improvement. It helps to ensure that the care hospitals provide to coronary artery disease, stroke, and heart failure patients is aligned with the latest scientific guidelines.