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Chronic Disease Management: What Happens When Home Health Care Is Completed?

As the chronic illness population increases, health care organizations are looking for ways to help promote Wellness and prevent illness. The Chronic Disease Management Program (CDMP) was developed in a Midwest hospital's home care department to provide services. The target population was those chronically ill who were no longer eligible for skilled home care, but continued to require ongoing monitoring. Admission criteria and service provision protocols were developed. Patients were visited on an average of once a month by a nurse, free of charge, with a focus on the management of chronic disease. Outcome measurement included patient/physician satisfaction, quality of life measures, and a financial cost analysis. Results demonstrated a high level of satisfaction, stabilized or improved quality of life, and significant financial savings.

Key Words: chronic disease management • primary diagnosis • quality of life • Wellness

Home Health Care Management & Practice, Vol. 10, No. 4, 53-56 (1998)
DOI: 10.1177/089780189801000412


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