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Opportunities for administrators to promote disease management
Bita A Kash1, Larry D Gamm, Jane Nelson Bolin
1School of Rural Public Health, Texas A&M University System Health Science Center, College Station, Texas, USA. bakash@srph.tamhsc.edu
Summary
Disease management (DM) programs improve patient health and reduce ER visits. Health services organization administrators can enhance DM by leading initiatives and integrating resources like electronic records.
Area of Science:
- Health Services Management
- Disease Management
- Healthcare Administration
Background:
- Disease management (DM) programs are increasingly promoted by payers through financial incentives.
- Patient participation in DM programs correlates with improved health status and reduced emergency room utilization.
Purpose of the Study:
- To explore opportunities for health services organization (HSO) administrators to promote DM.
- To identify key players and resources critical for DM program success from the perspective of healthcare professionals.
Main Methods:
- Survey of DM leaders, physicians, and DM nurses across six DM programs.
- Analysis of professional assessments regarding essential support and resources for DM initiatives.
Main Results:
- DM programs rely heavily on physician, nurse, and health plan leader support, with less perceived dependence on HSO administrators.
- A significant need exists for integrating resources such as communication systems, electronic medical records, and DM reporting.
- Professionals identified opportunities for HSO administrators to increase leadership in DM program development and implementation.
Conclusions:
- HSO administrators can play a more significant role in supporting DM adoption and effective implementation.
- Administrators with knowledge of payer initiatives and leadership skills are valuable assets to DM programs.
- Key administrative contributions include supporting standardized processes, practice guidelines, and information systems.
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