Disease Management Program definition

Disease Management Program means a multi-disciplinary, continuum-based approach to improve the health of Enrollees that proactively identifies populations with, or at risk for, certain medical conditions: that: 1) supports the physician/patient relationship and place of care; 2) emphasizes prevention of exacerbation and complications utilizing cost-effective evidence-based practice guidelines and patient empowerment strategies such as self-management; and 3) continuously evaluates clinical, humanistic, and economic outcomes with the goal of improving overall health.

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Disease Management Program means an integrated population based system approach to deliver health care services. Disease management programs use information based processes to improve the entire continuum of care, from prevention and patient education, to diagnosis and treatment, to follow-up and ongoing maintenance, with the intention of producing the best clinical outcomes. A disease management program performs the following functions: i) classifying patients by disease state; ii) identifying patients with specific chronic diseases in a covered population, iii) encouraging intervention at the most beneficial medical junctures, iv) offering long-range strategies to prevent and control each disease, v) providing feedback on outcome to physicians, and vi) emphasizing preventive care and patient education.

Disease Management Program means a program adopted to guide and care

Examples of Disease Management Program in a sentence

• The Joint Committee on Health Benefits will work with the State to implement and oversee a Healthy Back Disease Management Program.

• Participation in Keystone Health Plan Central’s Disease Management Program is voluntary and involves no additional cost to our Members.

• The goals of Keystone Health Plan Central’s Disease Management Program are to maintain and improve the overall health status of Members with specific diseases through the provision of comprehensive education, monitoring and support for healthy self-management techniques.

• The Disease Management Program is especially beneficial for Members who have complex health care needs or who require additional assistance and support.

• The Disease Management Program is a collaborative program that assesses the health needs of Members with a chronic condition and provides education, counseling, and information designed to increase the Member’s self-management of this condition.

• This position shall be a licensed Physician, licensed registered nurse, or other professional as approved by the Department based on Contractor’s ability to demonstrate that the professional possesses the training and education necessary to meet the requirements for Case Management and Disease Management Program activities required in the Contract.

• A Disease Management Program may be a part of a Care Management program.

• Contractor shall have a full-time Care Coordination and Disease Management Program Manager who shall be (i) a registered nurse licensed in Illinois, or (ii) other professional as approved by the Department based on Contractor’s demonstration that the professional possesses the training and education necessary to meet the requirements for Care Coordination and Disease Management Program activities required in this Contract.

• The Care Coordination and Disease Management Program Manager will direct all activities pertaining to Care Management and Care Coordination and monitor the utilization of Enrollees’ physical health and behavioral health treatments.

• Liquidated Damages: 20% of annual fees for Disease Management Program Performance and activity reports will be submitted monthly to the Board.

More Definitions of Disease Management Program

Disease Management Program means a program that employs a set of interventions designed to improve the health of individuals, especially those with Chronic Health Conditions. A Disease Management Program is typically part of a Care Management program. Disease Management Program services include:‌ 1.1.64.1 a population identification process; 1.1.64.2 the use and promotion of evidence-based guidelines; 1.1.64.3 the use of collaborative practice models to include Physician and support service Providers; 1.1.64.4 Enrollee self-management education (including primary prevention, 1.1.64.5 Care Management;‌ 1.1.64.6 process and outcome measurement, evaluation, and management; and 1.1.64.7 routine reporting/feedback loop (including communication with the Enrollee, Physician, and ancillary Providers, and practice profiling).

Disease Management Program means a coordinated, confidential program designed to manage a Member’s chronic disease so that action can be taken to improve outcomes in the future.

Disease Management Program. A program that employs a set of interventions designed to improve the health of individuals, especially those with Chronic Health Conditions. Disease Management Program services include: (i) a population identification process; (ii) use and promotion of evidence-based guidelines; (iii) use of collaborative practice models to include Physician and support service Providers;

Disease Management Program means an integrated population based system

Disease Management Program means a program that employs a set of interventions designed to improve the health of individuals, especially those with Chronic Health Conditions. A Disease Management Program is typically part of a Care Management program. Disease Management Program services include:

Disease Management Program means a Utilization Management Program designed to benefit Enrollees diagnosed with specific conditions, such as diabetes or congestive heart failure, with the goal of producing and implementing a plan tailored to each Enrollee’s unique circumstances for managing the Enrollee’s health status.