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In-Home Chronic Disease Management in Diabetes

A Collaborative Practice Model for Home Health Care and Endocrinology Providers

BlueStar Home Health

Michelle L. Litchman, MS, FNP-BC

Pat Reed, RN, BSN

Willow Creek Health Care

Robert E. Burr, MD, FACE, FACP

With the rate of diabetes increasing in the elderly, home health care agencies must creatively approach disease management in this high-risk population. Specialized training programs, standardized policies and procedures, and strategic staffing patterns support agencies to systematically and effectively manage diabetes in the home. Collaboration with endocrinology providers assists agencies to incorporate and appropriately use national standards in diabetes care. Additionally, home health partnership with endocrinology providers will enhance a disease management program with increased provider participation and oversight, improving patient clinical outcomes and serving as a resource for home health agencies managing patients with diabetes.

Key Words: disease management • diabetes • home care • endocrinology

This version was published on June 1, 2009

Home Health Care Management & Practice, Vol. 21, No. 4, 246-254 (2009)
DOI: 10.1177/1084822308328323


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