Disease Management
What is it?
In an effort to pursue optimum nutrition and improve long-term health, avoid unnecessary readmissions, reduce length of stay and save hospital funds, Lee Health developed Flavor Harvest@Home to assist in early identification and intervention for patients at risk of malnutrition. A Lee…
OverviewChildren’s Health System of Texas formed the Health and Wellness Alliance for Children (the Alliance) in early 2013 after a “listening” tour of local organizations serving children and families revealed a lack of sustained impact due to the fragmented nature of individual social service…
OverviewSt. John’s Regional Medical Center and St. John’s Pleasant Valley Hospital are committed to giving all persons with heart failure within the community, and their family members, the knowledge and support necessary to help them maintain the highest quality of life and reduce their risk of…
OverviewThe Community Asthma Partnership was launched in 1992 by Baptist Health working with Nemours Children’s Specialty Care and University of Florida Health. Wolfson Children’s Hospital – a Baptist Health hospital – took over operations of the Community Asthma Partnership in 2006. In alignment…
OverviewThe Diabetes Self-Management Education Program was launched in 2005 to address an overwhelming community need for this kind of education. The program received formal recognition from the American Diabetes Association in 2008 for providing quality diabetes self-management education. The need…
What is it?In spring 2010, Dr. John Heitner, the director of non-invasive imaging at New York Methodist Hospital, initiated an IRB-approved research study. The hypothesis of the study was to prove whether trained volunteers visiting congestive heart failure (CHF) patients and reinforcing vital…
What is it?The four Community Health and Education Houses provide support in four areas of living: cancer, diabetes, aging, and women’s issues. The goal of the Peitz Cancer Support House, which is one of only 17 such houses nationwide, is to provide free comprehensive support services in a home-…
What is it?The Center for Clinical Resources is a centralized, interdisciplinary approach to care coordination for individuals who have one or more chronic health conditions. A multidisciplinary team provides patients with the interventional care, education and support needed to manage chronic…
What is it?WellStar Health System is striving to eliminate diabetes and obesity among Hispanic and Latino populations. The Promotores de Salud (Health Promoters) program identifies people at high risk for diabetes and provides them with culturally sensitive training materials, classes and support…
What is it?In 2012, Mount Desert Island Hospital partnered with nonprofit organizations in three counties to launch the Coastal Care Team (CCT). The team works closely with patient-centered medical home practices to identify complex, high-need patients who may benefit from additional services.…