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Chronic care patients may require the services of a variety of care providers, including dietitians, nutritionists, occupational therapists, nurses, behavioral care, pain management, surgery, and pastoral care. Working in collaboration with the patient, the chronic care provider coordinates care these and other specialist providers.
Chronic care models such as the delivery of chronic disease management programs may be effective for patients with long-term chronic conditions. For patients with asthma, having a coordinated program involving multiple health care professionals can make improvements in aspects such as patients perceived quality of life, lung functioning and the ...
Guided Care is provided by physician-nurse teams in primary care practices to the physicians' most complex patients, mainly older adults with chronic conditions and complicated health needs. It is designed to increase patients' quality of care and quality of life, while improving the efficiency of their use of health care resources, thus ...
A federally funded study by Mathematica in 2017 found the CCM program saves Medicare $74 per patient per month, or $888 per patient per year — due mostly to a decreased need for hospital care.
Comprehensiveness of care, including preventive and wellness care, acute injury and illness care, chronic illness management and end-of-life care. Standards for the provision of appropriate patient education, self-management and community resources also are addressed.
The Care Transitions Intervention (CTI) [10] is a coaching intervention to assist patients in resuming self-care following a change in health status. It uses coaching techniques to ensure that patients are comfortable in managing their own medications and their own health information, understand the signs and symptoms that should lead them to ...
The question of how to care for incarcerated patients in hospitals is an urgent one. We can’t afford to get it wrong.
Carelon Health offers its patients a high-touch, proactive approach to chronic disease management designed to minimize the probability of an acute episode of care. After a comprehensive medical evaluation, patients with chronic conditions are enrolled in one of Carelon Health's 14 different disease management programs.