Disease management, as defined by the Care Continuum Alliance (CCA), 2011, is a multi-disciplinary, comprehensive, continuous, and coordinated method to achieving desired outcomes by utilizing preventive measures and evidence-based practice guidelines to alter the natural course of the disease; therefore, improving the overall health for a population. These outcomes include processes of reducing healthcare costs while improving the quality of life for individuals by preventing or minimizing the efforts of a disease through integrative care (CCA, 2011). Program success relies that a comprehensive system be in place that incorporates the patient, physician, and health plan into one system with one common goal (Menon, 2002).
Population Health Management
Population health management is the organization of health care delivered across a population with an aim to improve quality of care while managing cost (McAlearney, 2003). The intent of population health management is to improve the health by addressing a broad range of factors that impact well-being on a population-level, such as environment, social structure, and resource distribution (Kindig & Stoddart, 2003). A significant step in achieving success is by reducing inequities in health among the defined population group (Kindig & Stoddart, 2003). Population health programs include the ability to assess the health needs of a specific population, implement and evaluate interventions to improve the health of that population, and provide care for individual patients in the context of the culture, health status, and health needs of the populations of which they are a member (Association of American Medical Colleges, 1999).
Wellness programs are organized and coordinated programs with a goal of enhancing the physical, mental, and emotional status of individuals (Watt, Verma, & Flynn, 2008). The functional elements of a wellness program utilize a combination of educational, executive, and environmental behaviors designed to support actions conducive to the health of individuals (Watt, Verma, & Flynn, 2008). These programs offer dedicated counseling services to assist individuals with the development and integration of preventive health plans and address lifestyle behaviors that lead to either prevention of illness or a higher quality of life (Watt, Verma, & Flynn, 2008).
Disease Management Program
Congestive heart failure (CHF) affects approximately five million Americans and is the only cardiovascular disease on the rise. According to the United States Department of Health and Human Services (HHS), 2008, “CHF is a highly prevalent, costly condition that imposes a significant burden on those it affects.” Conventional CHF care tends to center on acute rather than chronic management strategies, which has negative implications for both cost and quality of care (HHS, 2008).
Baylor University Medical Center (BUMC),...