BOOK
Chronic Disease Management, An Issue of Primary Care Clinics in Office Practice - E-Book
Brooke Salzman | Lauren Collins | Emily R Hajjar
(2012)
Additional Information
Book Details
Abstract
This issue covers topics central to the management of the patient with a chronic disease by taking a comprehenisve look at: Successful/Innovative Models in Chronic Disease Management, The Patient-Centered Medical Home, Self-Management Education and Support, Major Pharmacologic Issues in Chronic Disease Management, Health Information Technology, Community-Based Partnerships for Improving Chronic Disease Management, and Effective Strategies for Behavioral Change, Diabetes Management, CHF Management, Asthma Management, and Depression Management.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Chronic Disease Management | i | ||
| Copyright Page | ii | ||
| Table of Contents | vii | ||
| Contributors | iii | ||
| Foreword: Teaching Strategies Behind the Principles | xiii | ||
| Preface: Chronic Disease Management: The Changing Landscape of Primary Care | xv | ||
| Chapter 1. Value-Based Reengineering: Twenty-first Century Chronic Care Models | 221 | ||
| A CALL FOR ACTION: WHY TRANSFORM CARE? | 222 | ||
| GEISINGER | 223 | ||
| QUALITY PROGRAM | 224 | ||
| PRIMARY CARE REDESIGN CORE ELEMENTS | 226 | ||
| SYSTEMS OF CARE | 229 | ||
| SUCCESSFUL MODELS OF CARE | 230 | ||
| INTEGRATED CASE MANAGEMENT | 233 | ||
| MEDICAL NEIGHBORHOOD | 233 | ||
| NETWORK DEPLOYMENT | 234 | ||
| SUMMARY | 237 | ||
| REFERENCES | 238 | ||
| Chapter 2. The Changes Involved in Patient-Centered Medical HomeTransformation | 241 | ||
| METHODS | 242 | ||
| RESULTS | 243 | ||
| SUMMARY | 253 | ||
| REFERENCES | 253 | ||
| Chapter 3. A “How To” Guide to Creatinga Patient-Centered Medical Home | 261 | ||
| WHAT IS A PATIENT-CENTERED MEDICAL HOME? | 262 | ||
| WHY SHOULD A PRACTICE BECOME A PCMH? | 262 | ||
| WHY DOES SEEKING CERTIFICATION FOR YOUR PCMH MATTER? | 265 | ||
| BECOMING A PCMH: WHERE TO START? | 267 | ||
| A TEAM APPROACH | 268 | ||
| WORKING GROUPS | 268 | ||
| WORKSPACE | 269 | ||
| CERTIFYING BODY | 270 | ||
| STEPS TO PCMH CERTIFICATION | 270 | ||
| PRACTICE REDESIGN | 274 | ||
| REFERENCES | 278 | ||
| Chapter 4. Effective Strategies for Behavior Change | 281 | ||
| MODELS OF HEALTH BEHAVIOR CHANGE | 282 | ||
| STRATEGIES/TOOLS FOR DISEASE PREVENTION AND HEALTH PROMOTION | 283 | ||
| BEHAVIOR CHANGE STRATEGIES FOR DISEASE PREVENTION | 290 | ||
| BEHAVIOR CHANGE STRATEGIES FOR CHRONIC DISEASE MANAGEMENT | 294 | ||
| CONSIDERATIONS FOR SPECIAL POPULATIONS | 298 | ||
| SUMMARY | 300 | ||
| REFERENCES | 300 | ||
| Chapter 5. Self-Management Education and Support in Chronic Disease Management | 307 | ||
| SELF-MANAGEMENT SUPPORT | 308 | ||
| INCORPORATING SMS INTO PRACTICE | 310 | ||
| SUMMARY | 317 | ||
| REFERENCES | 318 | ||
| Chapter 6. Health Information Technology: Transforming Chronic Disease Management and Care Transitions | 327 | ||
| BACKGROUND: FEDERAL LEGISLATION | 328 | ||
| HIT AND CHRONIC DISEASE MANAGEMENT | 329 | ||
| HIT AND SELF-MANAGEMENT SUPPORT | 337 | ||
| HIT AND CARE TRANSITIONS | 338 | ||
| CHALLENGES AND FUTURE DIRECTIONS | 340 | ||
| SUMMARY | 341 | ||
| REFERENCES | 342 | ||
| Chapter 7. Pharmacologic Issues in Management of Chronic Disease | 345 | ||
| POLYPHARMACY | 346 | ||
| INAPPROPRIATE PRESCRIBING | 348 | ||
| MEDICATION ADHERENCE AND PERSISTENCE | 351 | ||
| ADVERSE DRUG REACTIONS AND EVENTS | 355 | ||
| OVERALL APPROACH TO MINIMIZE MEDICATION-RELATED PROBLEMS IN OFFICE PATIENTS | 357 | ||
| SUMMARY | 358 | ||
| REFERENCES | 358 | ||
| Chapter 8. Effective Strategies to Improve the Management of Diabetes: Case Illustration from the Diabetes Health and Wellness Institute | 363 | ||
| CONFRONTING AND ELIMINATING HEALTH DISPARITIES | 364 | ||
| COMMUNITY PARTNERSHIPS | 365 | ||
| OUTREACH INTO THE COMMUNITY TO IDENTIFY AND ENGAGE MAJOR STAKEHOLDERS | 366 | ||
| DIFFERENT APPROACHES FOR DIFFERENT AT-RISK POPULATIONS | 367 | ||
| INTERPROFESSIONAL TEAMWORK | 369 | ||
| CARE COORDINATION | 369 | ||
| TEAM COORDINATION | 371 | ||
| ELECTRONIC HEALTH RECORD | 373 | ||
| IMPROVING THE CARE EXPERIENCE OF THE PATIENT | 374 | ||
| SUMMARY | 376 | ||
| REFERENCES | 377 | ||
| Chapter 9. Childhood Asthma: Considerations for Primary Care Practice and Chronic Disease Management in the Village of Care | 381 | ||
| INTRODUCTION | 381 | ||
| QUESTION 1: WHY DOES THIS RELATE TO MY PRACTICE AND THE CARE I PROVIDE | 382 | ||
| QUESTION 2: WHY SHOULD WE USE CHILDHOOD ASTHMA TO CONSIDER A MODEL OFADVANCED PRIMARY CARE | 382 | ||
| QUESTION 3: WHY IS IT IMPORTANT TO CONTROL CHILDHOOD ASTHMA | 383 | ||
| QUESTION 4: WHY HAS IT BEEN DIFFICULT TO CONTROL CHILDHOOD ASTHMA | 383 | ||
| QUESTION 5: HOW DOES THE AFFORDABLE CARE ACT APPLY TO THESE CONSIDERATIONS FOR CHILDHOOD ASTHMA AND CHRONIC DISEASE CARE | 384 | ||
| QUESTIONS 6 AND 7: WHAT IS THE IMPORTANCE OF CHILDHOOD ASTHMA IN THE CONTEXT OF THE CHRONIC CARE MODEL AND HOW DO WE REACH THOSE WHO CANNOT BE REACHED | 385 | ||
| QUESTION 8: WHAT HAVE WE LEARNED FROM COMMUNITY COALITION EXAMPLES TO ADDRESS THE BURDEN OF CHILDHOOD ASTHMA | 386 | ||
| QUESTION 9: HOW DO THESE EXPERIENCES WITH LARGE COMMUNITY COALITIONS RELATE TO DEVELOPING INTEGRATED PRACTICE AND COMMUNITY-BASED APPROACHES IN A LOCAL COMMUNITY ON A SMALLER SCALE | 388 | ||
| QUESTION 10: HOW DO WE LINK COMMUNITY-BASED APPROACHES WITH PRACTICE-BASED APPROACHES TO CARE | 388 | ||
| SUMMARY | 389 | ||
| ACKNOWLEDGMENTS | 389 | ||
| REFERENCES | 390 | ||
| Chapter 10. Effective Strategies to Improve the Management of Heart Failure | 393 | ||
| EARLY IDENTIFICATION OF HF AND TRANSITION TO HIGHER LEVELS OF CARE | 394 | ||
| SCREENING FOR HF IN ASYMPTOMATIC PATIENTS | 394 | ||
| MANAGEMENT OF HF AS A CHRONIC DISEASE | 396 | ||
| NUTRITION | 397 | ||
| SELF-CARE BEHAVIORS | 398 | ||
| RECOGNITION AND MANAGEMENT OF ADHF | 402 | ||
| DISCHARGE PLANNING FOR ADHF | 405 | ||
| HF AND COMORBIDITIES | 406 | ||
| ADVANCE DIRECTIVES AND END-OF-LIFE CARE IN HF | 407 | ||
| SUMMARY | 407 | ||
| REFERENCES | 408 | ||
| Chapter 11. Strategies to Improve the Management of Depression in Primary Care | 415 | ||
| INTRODUCTION | 415 | ||
| THE CLINICAL EPIDEMIOLOGY OF DEPRESSION IN PRIMARY CARE | 416 | ||
| INTERACTION OF DEPRESSION WITH OTHER CHRONIC ILLNESSES | 416 | ||
| TREATMENT OF DEPRESSION | 417 | ||
| QUALITY OF CARE FOR DEPRESSION | 419 | ||
| STRATEGIES TO IMPROVE THE MANAGEMENT OF DEPRESSION IN PRIMARY CARE | 419 | ||
| RESEARCH EVIDENCE FOR COLLABORATIVE CARE | 421 | ||
| LARGE-SCALE IMPLEMENTATIONS OF COLLABORATIVE CARE | 422 | ||
| IMPLEMENTING EFFECTIVE COLLABORATIVE CARE PROGRAMS | 423 | ||
| SUMMARY | 425 | ||
| REFERENCES | 425 | ||
| Chapter 12. Community - Based Partnerships for Improving Chronic Disease Management | 433 | ||
| THE EXPANDED CHRONIC CARE MODEL | 434 | ||
| REALIGNING THE PATIENT-PHYSICIAN RELATIONSHIP | 435 | ||
| RATIONALE FOR COMMUNITY PARTNERSHIPS IN CHRONIC DISEASE MANAGEMENT | 435 | ||
| SOCIAL ECOLOGY THEORY AND COMMUNITY PARTNERSHIPS | 435 | ||
| COMMUNITY ENGAGEMENT AND COMMUNITY CAPACITY BUILDING | 436 | ||
| COMMUNITY-BASED PARTNERSHIPS: LOCAL AND NATIONAL CASE EXAMPLES | 437 | ||
| SUMMARY | 445 | ||
| REFERENCES | 445 | ||
| Index | 449 |