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Operating a Sustainable Disease Management Program for Chronic Obstructive Pulmonary Disease
- Source :
- Lippincott's Case Management. 8:252-262
- Publication Year :
- 2003
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2003.
-
Abstract
- Background Chronic obstructive pulmonary disease (COPD) is one of our nation's most rapidly growing chronic health conditions. It is estimated that over 16 million individuals are diagnosed with COPD (Friedman & Hilleman, 2001). In addition, another 16 million are misdiagnosed as asthma or not diagnosed at all. COPD is a condition that affects the working-age as well as the elderly. Despite the high mortality rate, COPD is a treatable and modifiable condition. Disease management programs (DMPs) for asthma are a common initiative within many health insurance plans and integrated delivery networks. Similar initiatives are not as common for COPD. This article will highlight the National Jewish Medical and Research Center's COPD DMP interventions and outcomes. Objective To outline interventions and operational strategies critical in developing and operating a sustainable and effective disease management program for COPD. Conclusions Disease Management is an effective model for managing individuals with COPD. Applying a case management model that includes (1) risk-identification and stratification; (2) education and empowerment regarding self-monitoring and management; (3) lifestyle modification; (4) communication and collaboration amongst patients, healthcare providers, and case managers to enhance the treatment plan; (5) providing after-hours support; and (6) monitoring care outcomes is crucial. Applying these interventions in a credible manner will improve the quality of life and quality of care delivered to individuals with mild, moderate, severe, and very severe COPD. Additionally, these interventions can significantly reduce utilization events.
- Subjects :
- Program evaluation
medicine.medical_specialty
Colorado
Leadership and Management
Psychological intervention
Assessment and Diagnosis
Risk Assessment
Severity of Illness Index
Pulmonary Disease, Chronic Obstructive
Patient Education as Topic
Quality of life
Outcome Assessment, Health Care
Health care
medicine
Humans
Cooperative Behavior
Disease management (health)
Intensive care medicine
Life Style
Referral and Consultation
Care Planning
Aged
Quality Indicators, Health Care
Asthma
COPD
business.industry
Communication
Health Policy
Public health
Disease Management
medicine.disease
respiratory tract diseases
Models, Organizational
Practice Guidelines as Topic
Quality of Life
Physical therapy
Patient Participation
Power, Psychological
business
Case Management
Program Evaluation
Subjects
Details
- ISSN :
- 15297764
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Lippincott's Case Management
- Accession number :
- edsair.doi.dedup.....e6e45052d3627b1073e65ebe72a3f7a7