Disease Management
What is it?HealthAware is an online health-risk assessment tool to identify an individual’s risk for heart disease, stroke, peripheral vascular disease or diabetes. If at risk, the participant is invited to receive free lab work and free education from a registered nurse, which includes ways to…
What is it?Nuestra Vida (Our Lives) is a collaborative effort between Memorial Medical Center and county government. The program improves self-managed care and preventive behaviors and increases community awareness within a cultural context, incorporating local language and culturally appropriate…
What is it?The Chronic Disease Self-Management Program is a free, six-week interactive program that teaches patients how to set personal goals and develop skills to overcome barriers needed to successfully manage chronic conditions such as arthritis, diabetes, heart or lung problems, high blood…
What is it?HeartWell is an innovative health improvement initiative to decrease the incidence of cardiovascular disease, one individual at a time. A team of registered nurses conducts health screenings, one-on-one risk factor modification counseling, chronic disease support groups and community…
What is it?The Better Breathers Club, launched in January 2014, offers education on topics related to lung disease and lung health. Monthly meetings promote skills that enable patients with chronic lung disease to better manage their conditions while also allowing members to give and receive…
What is it?The diabetes initiative was formed as a pilot program with the goal of improving the quality of care for the growing diabetic population in Sussex County. The program was implemented in 10 primary care practices, and educated providers regarding current evidence-based practices for…
What is it?Developed by MedStar Health, Hair, Heart and Health (HHH) is a community-based program that seeks to reduce risk for cardiovascular disease among African-American men. Barbershops serve as a community venue, offering screenings for high blood pressure and diabetes. The program trains…
What is it?In 2010, the University of Charleston School of Pharmacy began offering a rural rotation site for their third- and fourth-year student pharmacists and pharmacy residents. These students and the instructor meet face to face with patients who have been referred to the program for a…
What is it?An innovative partnership with East Stroudsburg University of Pennsylvania and Wilkes University trains a select group of volunteer students to act as health coaches for patients with chronic illness. The students – who visit patients at home – are trained to recognize signs that a…
What is it?The Community Health Team (CHT) is a multidisciplinary team that works with providers to improve health outcomes with free services to all patients. Team members include nurses, dietitians, a diabetes educator, social workers, substance abuse and tobacco cessation counselors, exercise/…