Use Of Interprofessional Multidisciplinary Care Teams And Staff In Chronic Disease Management

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Use Of Interprofessional Multidisciplinary Care Teams And Staff In Chronic Disease Management

  • For this assignment, you will complete a presentation analyzing key goals of chronic disease management, stakeholders, and approaches to care.
  • You are focusing on the processes and NOT managing a specific chronic disease such as heart disease. Use Of Interprofessional Multidisciplinary Care Teams And Staff In Chronic Disease Management

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Chronic diseases–such as heart disease, cancer, and diabetes–are placing a growing burden on the U.S. health care system.  In response, some health care organizations are instituting chronic disease management (CDM) programs to reduce the incidence of preventable hospitalizations and adverse events by more effectively and comprehensively managing the health of patients with chronic conditions. Many of these organizations are implementing health information technology (health IT) to facilitate their chronic disease management programs.Chronic disease management health IT applications may enable the re-distribution of patient management tasks to non-physician personnel. Many health IT solutions for chronic disease management are intended primarily for physician use. However, these systems also can be designed to engage other key members of the health care team in decision-making, such as nurses, case managers and other key healthcare professionals. Use the following information to create a PowerPoint presentation with speaker notes. Include the following information in your final presentation:

  • Identify and explain the key goals of chronic disease management
  • What are the driving forces behind chronic disease management programs?
  • Explain the roles of health care team members in the management of chronic diseases?
  • Include internal clinical and non-clinical roles.
  • Compare and contrast two models of chronic disease management and address their approach to:
    • Self-management support
    • Delivery system design
    • Decision support
    • Clinical information systems
    • Organization of health care
    • Community
  • Analyze the financial impact of a chronic disease management program.

For this assignment, you will complete a presentation analyzing key goals of chronic disease management, stakeholders, and approaches to care.

  • You are looking at the process and not a particular disease.
  • Your assignment should not reflect the steps from managing a chronic disease such as heart disease. Focus on the process.

Include the following information in your presentation:

  1. Title Slide
    1. Follow APA 7th edition guidelines on the development of your title slide
  2. Introduction
    1. Introduce what the purpose of this presentation is, you can rephrase the assignment.
  3. Identify and explain the key goals of chronic disease management.
    1. List, briefly, the goals on the slide and then in the speaker’s notes define them how the goals interact with each other.  The focus is on chronic disease management models and not a specific condition.
  4.  Explain what the driving forces behind chronic disease management programs. Use Of Interprofessional Multidisciplinary Care Teams And Staff In Chronic Disease Management
    1. List at least 3 driving forces
    2. Why is there an emphasis on chronic disease management programs? Why do they exist?
  5. Explain the roles of health care team members in the management of chronic diseases, including clinical and non-clinical roles.
    1. There should be at least five health care team member groups identified and described.
    2. Who are the players and what specific role do they have?
  6. Compare and contrast two models of chronic disease management and address their approach to the six essential elements of a chronic care model (in other words for each of the two models you must describe the six essential elements below). How are the two models similar? How are the two models different?
  • Self-management support
  • Delivery system design
  • Decision support
  • Clinical information systems
  • Organization of health care
  • Community

Examples of chronic disease models include (pick two to complete number 6):

  • Chronic Care model (CCM)
  • Stanford model (SM)
  • Community based Transition Model (CBTM)
  • Improving Chronic Illness Care (ICIC)
  • Innovative Care for Chronic Conditions (ICCC)
  1. Analyze the financial impact of a chronic disease management program.
    1. Provide content that evidences at least three points of financial impact from chronic disease management programs as a whole.
    2. What is the economic value of these models?
    3. Include specific dollar amounts and not general statements.
  2. Conclusion
    1. Restate your introduction showing how you completed the asks of the presentation.
  3. References
    1. Follow APA 7th edition requirements. Use Of Interprofessional Multidisciplinary Care Teams And Staff In Chronic Disease Management