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Ten steps to a successful disease management program.

Paul R Reich1

  • 1Scheur Management Group, Inc., Newton, Massachusetts, USA. PaulR81755@aol.com

Managed Care Interface
|May 25, 2002
PubMed
Summary
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This guide outlines 10 essential steps for health plans to establish effective internal disease management programs. It covers patient identification, staffing, and educational resources, using congestive heart disease and diabetes as examples.

Area of Science:

  • Health Services Research
  • Healthcare Management
  • Chronic Disease Management

Background:

  • Effective disease management programs are crucial for improving patient outcomes and reducing healthcare costs.
  • Health plans face challenges in developing and implementing comprehensive internal programs.
  • Existing literature lacks a clear, step-by-step guide for health plan program implementation.

Purpose of the Study:

  • To provide a practical, 10-step primer for health plans on creating and implementing internal disease management programs.
  • To offer actionable strategies for key program components, including patient identification, staffing, and educational materials.
  • To illustrate program development using specific examples of congestive heart disease and diabetes management.

Main Methods:

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  • The article presents a foundational framework based on best practices in program development and implementation.
  • It synthesizes key considerations for establishing an internal disease management program within a health plan.
  • Case examples of congestive heart disease and diabetes are used to demonstrate practical application.

Main Results:

  • A 10-step process is detailed, covering essential elements from initial planning to ongoing program management.
  • Key considerations for patient identification, data utilization, and care coordination are highlighted.
  • Guidance on staffing requirements and the development of patient and provider educational materials is provided.

Conclusions:

  • Successful internal disease management programs require a structured, systematic approach.
  • Health plans can leverage this 10-step guide to build robust programs for chronic conditions.
  • Focusing on patient engagement and evidence-based practices is vital for program success.