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MBGH Disease Management

MBGH's Licensed Private Duty Nurse

It can be very confusing and frustrating to be diagnosed with a chronic illness or rehabilitating, "Did I take this pill or that?" or" I feel funny, when I take this medication". "The doctor said I have ???."  


Confusion, is common. Let MBGH's Licensed Private Duty Nurse help clear up your confusion. In lay terms the nurse can answer your concerns and show you ways to manage your health care. 


There are no silly questions only the ones that you failed to ask. Utilize this service to help but not limited to:


  • Adolescent
  • Advocate Medical Concerns 
  • Doctor Coordination 
  • Explanation of Services 
  • Medical Health Checks 
  • Medication Organization
  • Medication Use
  • & More

Disease Management Care


  • Adolescent Care
  • Alzheimer's
  • Arthritis 
  • Autism Spectrum Disorder
  • Brain Injury
  • Cancer 
  • Diabetic 
  • Heart Disease 
  • & More  

WHY A DISEASE MANAGMENT CARE PLAN

People with chronic conditions generally use more health care services, including 

physician visits, hospital care, and prescription drugs.

 

Increases in the number of people living longer with chronic conditions coupled with rising health care expenditures have spurred health plans, employers, and the government to look for 

ways to reduce health care use and costs. 


Disease Management is one approach that aims to provide better care while reducing the costs of caring for the chronically ill. Disease management programs are designed to improve the health of persons with specific chronic conditions and to reduce health care service use and costs associated with avoidable complications, such as emergency room visits and hospitalizations.


Substantial reductions in health care service use and expenditures have occurred for many individuals enrolled in disease management programs. Disease management is still

 relatively new, however, and programs are still evolving. 

THE COMPONENTS OF DISEASE MANAGEMENT

IDENTIFICATION PROCESSES

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Programs are designed to target individuals with a specific disease. Costly chronic conditions, including asthma, diabetes, congestive heart failure, coronary heart disease, end-stage renal disease, depression, high-risk pregnancy, hypertension, and arthritis, have been the focus of these programs. Individuals with multiple conditions may also benefit from a disease management program. Enrollment in a program that targets the most severe disease necessitates attention to and coordination 

of care for other conditions.

PRACTICE GUIDELINES

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Physicians and providers within these programs are critical to educating patients on an ongoing basis about how to better manage their conditions. Many programs provide physicians with practice guidelines, based on 

clinical evidence, to ensure

 consistency in treatment.

COLLABORATIVE PRACTICE

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Disease management generally entails using a multidisciplinary team of providers, including physicians, nurses, Home Care providers, pharmacists, dieticians, respiratory therapists, and psychologists, to educate and help individuals manage their conditions. Health care providers may also work with support-service providers to fill in any gaps in the care team, such as 

the need for nutrition screening or remote-patient monitoring.

PATIENT SELF-MANAGEMENT EDUCATION

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Disease management programs are based on the concept that individuals who are better educated about how to manage and control their condition receive better care. This could ultimately result in cost-savings. You may need additional support to stick to a medical regimen. Counseling, home visits, 24-hour call centers, and appointment reminder systems have been used to support individuals who are 

managing their chronic conditions.

PROCESS AND OUTCOMES MEASUREMENT

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A method for the measurement of outcomes, including health care service use, expenditures, and patient satisfaction, must be determined prior to the start of the program. These measures are commonly compared to a baseline or a control group in order to measure the impact of the program.



ROUTINE SHARES REPORTING PROGRESS

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Routine reporting and feedback between patients, physicians, and other providers on the care team is often necessary to assure that patients are effectively managing their conditions and receiving the care they need. Additionally,

 health plans need feedback from patients and providers in order to 

evaluate their programs.


SOURCE: Disease Management Association of America.