Disease Management
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.…
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,…