Chronic Diseases Management Program
Chronic diseases are those that last a long time. The rising prevalence of chronic diseases in the population, combined with the high cost of health care, has prompted healthcare providers and the government to develop a disease management program (DMP). The program is designed to help employees with chronic diseases like asthma and breast cancer. The program involves assigning nurses and other healthcare personnel to patients with chronic diseases. This paper will investigate the impact or significance of using disease management programs to treat chronic conditions (“What Are Disease Management Programs (DMPs)?”).
This program ensures that the patient’s treatment steps are well followed and conducted and also avoids the same medical test being done again unnecessarily. The program fosters collaboration among various personnel who provide care for patients, including family, rehabilitation centres, hospitals, and specialist doctors.
A chronic disease lasts a long time and necessitates long-term, consistent treatment tailored to the individual patient. A patient is treated based on the specifications provided in the DMP, which includes nurse observations and medical examination diagnosis. Checkups are performed on a regular basis to monitor the patient’s condition and to try to prevent complications from associated diseases (Avery et al.).
Patients who participate in the DMP receive quality care because a nurse is assigned to them based on their specializations. Because the nurse is well-informed about the course of your treatment, she will be able to provide better and more personalized care than you would receive in regular consultation. Better contact with the patient will help understand the patient’s condition and how to manage it in a personalized way (“What Are Disease Management Programs (DMPs)?”).
Following their conditions, patients are given specialized training courses. This training will help patients improve their self-management skills and find ways to live with the disease. Patients will adhere to treatment more closely, which will benefit their health.
Finally, the disease management program should be continued in order to deal with the increasing prevalence of chronic diseases around the world. According to research in the United States, chronic diseases consume 78% of the healthcare budget (“Disease Management Programs: Improving Health While Reducing Costs? – Health Policy Institute”).
References
“Disease Management Programs: Improving Health While Reducing Costs? – Health Policy Institute.” Health Policy Institute, 2019, hpi.georgetown.edu/management/. Accessed 20 May 2019.
“What Are Disease Management Programs (DMPs)?” Nih.Gov, Institute for Quality and Efficiency in Health Care (IQWiG), 30 Dec. 2016, www.ncbi.nlm.nih.gov/books/NBK279412/. Accessed 20 May 2019.
Avery, George, et al. “The Impact of a Telephone-Based Chronic Disease Management Program on Medical Expenditures.” Population Health Management, vol. 19, no. 3, June 2016, pp. 156–162, www.ncbi.nlm.nih.gov/pmc/articles/PMC4913497/, 10.1089/pop.2015.0049. Accessed 20 May 2019.
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Question 
Week 10: Chronic Disease Management: Mortality and Morbidity
The management of chronic disease poses a significant health care challenge in the United States and elsewhere. By the year 2030, chronic disease will cost the world over 47 trillion dollars annually (Bloom, et al, 2011; Jaslow, 2011). As noted in Week 6, many of the factors that contribute to chronic illness—such as poor diet, lack of activity, drug and alcohol use, and smoking—are lifestyle choices. Consider, for instance, diabetes: the significant increase in prevalence from 1980 to 2007 is explainable almost entirely by lifestyle choices. Most adults report having the condition long term, and the direct and indirect costs associated with it are substantial (Nash, Reifsnyder, Fabius, and Pracilio, 2011).
Chronic Diseases Management Program
As a nurse leader, what opportunities do you see for reducing morbidity and mortality—and, ultimately, for diminishing the tremendous personal and societal costs—related to chronic disease?
You have explored many of the facets of epidemiology throughout this course; this week, you will examine the study of chronic disease. You will investigate models and frameworks for managing chronic disease, as well as how the challenges of managing chronic disease inhibit the delivery of quality health care.
Learning Objectives
Students will:
· Analyze a chronic disease model and its relationship to a chronic disease
· Evaluate current challenges in delivering effective quality health care as it relates to chronic disease management
Learning Resources
Required Readings
Nash, D. B., Skoufalos, A., Fabius, R. J. & Oglesby, W. H. (2021). Structure, systems, and stakeholders. In Population health: Creating a culture of wellness (3rd ed.). Jones & Bartlett Learning.
In Chapter 4 the current structure of the United States health system and the influence on population health is discussed. Stakeholders are identified, and the relationships between the structure, system and stakeholders is explored.
Nash, D. B., Skoufalos, A., Fabius, R. J. & Oglesby, W. H. (2021). Coordinated care delivery models. In Population health: Creating a culture of wellness (3rd ed.). Jones & Bartlett Learning.
Chapter 12 examines the influence of accountable care organizations and ambulatory care organizations on the current health care delivery system. Examples of successful organizations are explored.
Nash, D. B., Skoufalos, A., Fabius, R. J. & Oglesby, W. H. (2021). Developing the workforce to enhance population health. In Population health: Creating a culture of wellness (3rd ed.). Jones & Bartlett Learning.
In Chapter 7 the authors address the social determinants driving population health. The strategies needed to develop a workforce that will be able to support current population health strategies is discussed.
This short reading presents an analysis of the economic effects of selected chronic diseases resulting in increased hospitalization, with a focus on behaviors that may be changed to prevent these diseases.
This article presents a study on treating substance abuse as a chronic disease. The authors discuss challenges to treatment options and propose methods for more appropriately managing treatment for substance dependence as a chronic illness.
This reading examines evidence related to the value of electronic personal health records (PHRs), noting that additional research is needed to evaluate this for chronic disease management.
Discussion: Addressing Chronic Disease
According to the Population Health course text, “Roughly 40 million Americans are still uninsured and 112 million Americans (almost half of the U.S. population, 45%) suffer from at least one chronic condition in the United States, an estimated 125 million persons have at least one chronic condition, and half of these persons have multiple chronic conditions” (Nash, Skoufalos, Fabius, and Oglesby, 2021, p. 5 ).
This week’s Learning Resources examine numerous health problems that result in a need for ongoing care. As you have explored this week, many costs are associated with chronic disease—both in terms of lives lost and socioeconomic burden. What can be done to help reduce chronic disease at the population level?
For this Discussion, you will take an in-depth look at chronic disease, and you will evaluate ways to address this issue through the application of chronic disease models and frameworks. In addition, you will consider the impact of the challenges of managing chronic disease on quality of care delivery.
To prepare:
· Review the application of chronic disease models as a method for managing chronic diseases at the population level.
· Consider characteristics of chronic disease models and how to apply them as presented in the Learning Resources.
· Consult The Chronic Care Model (Figure 1–1 (p. 9) in Population Health: Creating a Culture of Wellness, and consider examples of determinants and outcomes of population health with chronic diseases in a specific subpopulation. Then, select one chronic disease on which to focus for this Discussion.
· Ask yourself, “What are the challenges of managing this chronic disease? How do these challenges limit the ability to deliver effective quality care?” Conduct additional research using the Walden Library and credible websites as necessary.
By Day 3
Post a cohesive scholarly response that addresses the following:
· Identify your selected chronic disease.
· Describe the application of a chronic disease model to address this disease at the population level. Include your rationale for selecting this particular model.
· Discuss one or more current challenges related to the management of the chronic disease, and explain how these challenges limit the ability to deliver effective quality care.
1.5 pages in APA and cite at least 3 sources
Assignment: Major Assessment 7: Using an Epidemiological Approach to Critically Analyze a Population Health Problem
Continue improving upon your paper, paying careful consideration to the feedback you have received on the drafts you have submitted in previous weeks. Your Final Paper will be due by Day 3 of next week.
Week in Review
This week, you analyzed a chronic disease model and its relationship to a chronic disease and evaluated current challenges in delivering effective quality health care related to chronic disease management.
In the final week, you will consider emergency preparedness and disaster management strategies and how these strategies are used to cope with disasters.
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