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Disease management programs for the underserved
Ronald Horswell1, Michael K Butler, Michael Kaiser
1Louisiana State University Health Care Services Division, Baton Rouge, Louisiana 70821-1308, USA. rhorsw@lsuhsc.edu
Disease Management : DM
|June 20, 2008
Summary
The Louisiana State University Health Care Services Division (HCSD) improved patient outcomes through disease management programs. Their system-level approach and electronic tracking enhanced care for an uninsured population.
Area of Science:
- Public Health
- Health Services Research
- Chronic Disease Management
Background:
- Disease management is crucial for improving population health outcomes.
- The Louisiana State University Health Care Services Division (HCSD) has a decade-long history of serving an largely uninsured population.
- Eight HCSD programs address chronic conditions like diabetes, asthma, heart failure, HIV, and cancer screening, alongside lifestyle interventions.
Purpose of the Study:
- To evaluate the effectiveness of HCSD's system-level disease management programs.
- To highlight the strategies employed in managing a diverse patient population.
- To demonstrate improvements in patient care and outcomes within a resource-limited setting.
Main Methods:
- Implementation of system-level management with clinical experts guiding program scope and goals.
- Adherence to evidence-based guidelines from professional organizations.
- Utilization of an electronic data repository for patient tracking and reminders.
- Establishment of quality indicators and benchmarking for performance monitoring.
- Inclusion of a Medication Assistance program to improve adherence for underserved patients.
Main Results:
- Significant improvements observed in key health indicators, such as hemoglobin A1c levels, with nearly 54% of the diabetic population achieving <7.0%.
- Enhanced patient adherence to medication regimens through the Medication Assistance program.
- Successful operation of eight distinct disease management programs across eight population centers.
Conclusions:
- System-level disease management, supported by electronic data and medication assistance, is effective in improving outcomes for underserved populations.
- The HCSD model demonstrates a successful approach to chronic disease care management in a challenging healthcare environment.
- Continued focus on evidence-based practices and quality monitoring is essential for sustained patient benefit.
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