Disease Management
What is it?HELP provides access to routine health care, culturally competent care and education, and a support group. HELP care plans are customized based on the individual’s needs, and high-risk program participants receive a kit containing an electronic tablet and other necessary medical…
What is it?The program includes individual and group education on topics such as understanding the diabetes disease process, the relationship between diabetes and food, healthy meal planning, using monitoring results to manage one’s diabetes, medication use, how to prevent or delay complications…
What is it?Clean Air for Kids (CAFK) is an asthma-management program that works to reduce asthma morbidity and mortality by mitigating and eliminating environmental triggers. They also provide prevention education and management services to families with chronic respiratory concerns and/or…
What is it?The hospital’s Cardiac Rehabilitation Department, in partnership with the Ocean Community YMCA in Westerly, offers a six-week Cardiac Risk Factor Reduction Program that includes a six-week membership at the Y, a heart rate monitor, three medically monitored telemetry sessions, an…
What is it?Healthy Eating addresses the cost and accessibility of produce for low-income households, uses food and nutrition as a provider resource to prevent and treat chronic disease and supports the local food system through partnerships with growers. Strategies include: supporting community…
What is it?FirstHealth of the Carolinas developed FirstReach, a comprehensive, multidisciplinary approach to diabetes outreach and education. FirstReach goals are to increase awareness of signs and symptoms of diabetes and pre-diabetes, implement early diagnosis through screenings and referrals,…
Ascension Health created a business unit called Transformational Development. It is charged with identifying potential changes and innovations to address those challenges. It addresses six platforms: early life interventions; senior care; population-based care and chronic care; transformation in…
VA home-based primary care offers comprehensive longitudinal care for veterans with complex chronic diseases. Receive personalized care in the comfort of your own home.
What is it?Robert Wood Johnson University Hospital Somerset’s El Poder Sobre La Diabetes program improves the health and well-being of underserved Latinos and helps them prevent diabetes. The program uses nutrition and exercise to target key health indicators such as weight, glucose and cholesterol…
What is it?The Heart of New Ulm Project (HONU) is an award-winning, community-driven initiative to reduce heart attacks in the rural community of New Ulm. As a population-based prevention demonstration project, it applies evidence-informed health improvement practices in the community, health care…