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Related Experiment Videos

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
PubMed
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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.

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  • 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.