Disease Management

What is it? In January 2013, University Hospitals (UH) Geneva Medical Center launched a predictive analytics program as a means of identifying those patients at high risk for readmission and providing support through specific interventions that involve the community. All patients admitted to the鈥
What is it? Brookhaven鈥檚 Diabetes Wellness Center has two programs aimed at people living with diabetes or at risk for developing diabetes. The first, the Diabetes Self Management Education Program, is a physician- and insurance-based program that provides a tailored, personal support system with鈥
What is it? In an effort to pursue optimum nutrition and improve long-term health, avoid unnecessary readmissions, reduce length of stay and save hospital funds, Lee Health developed Flavor Harvest@Home to assist in early identification and intervention for patients at risk of malnutrition. A Lee鈥
OverviewChildren鈥檚 Health System of Texas formed the Health and Wellness Alliance for Children (the Alliance) in early 2013 after a 鈥渓istening鈥 tour of local organizations serving children and families revealed a lack of sustained impact due to the fragmented nature of individual social service鈥
OverviewSt. John鈥檚 Regional Medical Center and St. John鈥檚 Pleasant Valley Hospital are committed to giving all persons with heart failure within the community, and their family members, the knowledge and support necessary to help them maintain the highest quality of life and reduce their risk of鈥
OverviewThe Community Asthma Partnership was launched in 1992 by Baptist Health working with Nemours Children鈥檚 Specialty Care and University of Florida Health. Wolfson Children鈥檚 Hospital 鈥 a Baptist Health hospital 鈥 took over operations of the Community Asthma Partnership in 2006. In alignment鈥
OverviewThe Diabetes Self-Management Education Program was launched in 2005 to address an overwhelming community need for this kind of education. The program received formal recognition from the American Diabetes Association in 2008 for providing quality diabetes self-management education. The need鈥
What is it?In spring 2010, Dr. John Heitner, the director of non-invasive imaging at New York Methodist Hospital, initiated an IRB-approved research study. The hypothesis of the study was to prove whether trained volunteers visiting congestive heart failure (CHF) patients and reinforcing vital鈥
What is it?The four Community Health and Education Houses provide support in four areas of living: cancer, diabetes, aging, and women鈥檚 issues. The goal of the Peitz Cancer Support House, which is one of only 17 such houses nationwide, is to provide free comprehensive support services in a home-鈥
What is it?The Center for Clinical Resources is a centralized, interdisciplinary approach to care coordination for individuals who have one or more chronic health conditions. A multidisciplinary team provides patients with the interventional care, education and support needed to manage chronic鈥