Chronic care management encompasses the healthcare services provided to patients with long-lasting diseases and conditions. A chronic disease or condition typically persists for a year or more, necessitates continuous medical attention, or hinders daily activities. The Chronic Care Management program aims to enhance patient health by equipping them with knowledge about their chronic conditions and empowering them to manage their health through a comprehensive treatment plan prescribed by their physician. This preventive program strives to improve patient well-being and enables healthcare practices to deliver high-quality treatment for managing chronic conditions effectively.
What conditions qualify for chronic care management?
While there are several conditions that can qualify for chronic care management, some of the common ones are diabetes, hypertension, and heart disease. Chronic obstructive pulmonary disease (COPD) and asthma are also frequently included. Mental health conditions like depression and anxiety may qualify as well. These conditions typically require ongoing care, monitoring, and support.
- Alzheimer’s disease
- Arthritis
- Asthma
- Autism
- Cancer
- Cardiovascular disease
- Dementia
- Depression
- Diabetes
- Heart disease
- High blood pressure
- Hypertension
- HIV/AIDS
- Lupus
- Multiple sclerosis
What does chronic care management involve?
Chronic care management aims to improve the quality of life for individuals with multiple chronic conditions. This involves implementing a comprehensive care plan that includes regular monitoring, medication management, and coordination among healthcare providers. It also focuses on patient education, lifestyle modifications, and preventive care. The goal is to reduce complications, hospital visits, and healthcare costs over time.
- Maintaining a record of the patient’s chronic conditions
- Gathering personal information
- Establishing goals for their health
- Coordinating with healthcare providers
- Managing medications effectively
- Incorporating any additional services required to manage their conditions