Disease Management
What is it?The hospital’s Cardiac Rehabilitation Department, in partnership with the Ocean Community YMCA in Westerly, offers a six-week Cardiac Risk Factor Reduction Program that includes a six-week membership at the Y, a heart rate monitor, three medically monitored telemetry sessions, an…
What is it?Healthy Eating addresses the cost and accessibility of produce for low-income households, uses food and nutrition as a provider resource to prevent and treat chronic disease and supports the local food system through partnerships with growers. Strategies include: supporting community…
What is it?FirstHealth of the Carolinas developed FirstReach, a comprehensive, multidisciplinary approach to diabetes outreach and education. FirstReach goals are to increase awareness of signs and symptoms of diabetes and pre-diabetes, implement early diagnosis through screenings and referrals,…
Ascension Health created a business unit called Transformational Development. It is charged with identifying potential changes and innovations to address those challenges. It addresses six platforms: early life interventions; senior care; population-based care and chronic care; transformation in…
The Department of Veterans Affairs home-based primary care began in 1972. Home-based primary care is a unique program that provides comprehensive longitudinal primary care by an interdisciplinary team in the homes of veterans with complex chronic disabling disease for whom routine clinic-based care…
What is it?Robert Wood Johnson University Hospital Somerset’s El Poder Sobre La Diabetes program improves the health and well-being of underserved Latinos and helps them prevent diabetes. The program uses nutrition and exercise to target key health indicators such as weight, glucose and cholesterol…
What is it?The Heart of New Ulm Project (HONU) is an award-winning, community-driven initiative to reduce heart attacks in the rural community of New Ulm. As a population-based prevention demonstration project, it applies evidence-informed health improvement practices in the community, health care…
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…