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Disease Management

Disease Management:
coordinating medical resources for patients across the entire health care delivery system
Disease Management:
provide high quality care across a continuum
Patients benefit from disease management programs because:
1) provide well-defined standards of care
2) promote standardization of care
3) improving multidisciplinary communication
4) providing a means of continuous quality improvement
5) facilitating the practice of evidence-based medicine
what are the components of disease management?
1) guidelines, clinical pathways, preprinted orders
what are guidelines?
systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances
Elements of a guideline:
1) assessment and monitoring
2) treatment
3) criteria for transfer/discharge
4) education and follow-up
5) references
Guideline limitations:
1) focus on the best practices in a specific clinical situation
2) less emphasis on the “process” aspect
3) does not provide a mechanism to ensure the guidelines are being adhered to
What are clinical pathways?
a tool used to coordinate the progress of a patient through time and across disciplines.
Elements of a pathway:
1) a time frame
2) patient outcomes defined
3) patient education
4) types of interventions that the patient needs
Preprinted orders:
a predefined printed physician order set for a specific clinical condition
Preprinted orders often accompany:
a clinical pathway or a clinical practice guideline
Preprinted orders facilitate:
evidence based medicine
Elements in a preprinted order:
1) specific indication
2) assessments
3) treatments
4) assessment and dosing guidelines and other useful resources

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