Disease Management

The 2017 chair files will begin highlighting efforts that are improving community health beyond traditional hospital walls. The first of these vignettes from the upcoming 'The Next Generation of Community Health' report is on the Children's Health System of Texas, based in Dallas, and how they are…
Improving the health of communities where people live, work and play is more important than ever. In early 2017, the AHA's Association for Community Health Improvement (ACHI) convenes its annual conference, bringing together professionals in community health, community benefit and population health…
What is it? Supported by Parkview Community Health Improvement, the Community Nursing program operates outside of the hospital walls to improve the health and well-being of the community. The program is staffed with 13 registered nurses, 1 registered respiratory therapist and 1 registered…
What is it? Impact Diabetes is a program implemented at Senior Action, a senior center in Greenville, S.C., that is funded by Pelham Medical Center. Impact Diabetes provides a comprehensive diabetes wellness program for seniors living in Greenville County who are members of Senior Action. The goal…
What is it? The Diabetes Health and Wellness Institute (DHWI) seeks to improve the management of diabetes and other chronic diseases and improve overall health and wellness outcomes in a vulnerable, underserved population.
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…
What is it? Brookhaven’s 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…
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…
OverviewChildren’s Health System of Texas formed the Health and Wellness Alliance for Children (the Alliance) in early 2013 after a “listening” tour of local organizations serving children and families revealed a lack of sustained impact due to the fragmented nature of individual social service…
OverviewSt. John’s Regional Medical Center and St. John’s 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…