Chronic care

QualityTools

National Commission on Correctional Health Care: Chronic Disease Clinic Followup Form 06/07/11

This form can help correctional health care professionals effectively manage diseases commonly found in jails, prisons, and juvenile confinement facilities. It is used to follow a patient with a single or multiple chronic diseases. The sheet documents the chronic disease(s) for which the patient is being followed, as well as medications, symptoms, immunizations, test results, and more.

Partnering in Self-Management Support: A Toolkit for Clinicians 03/25/11

This toolkit is intended to give busy clinical practices an introduction to a set of activities and changes that support patients and families in the day-to-day management of chronic conditions. Experienced organizations and teams will find tested resources and tools. Practices that are just beginning to reorganize for patient-centered care as well as those experienced in collaborative self-management will find tested resources and tools and high-leverage changes that offer a number of ways...

Patient Self-Care Workbooks for COPD and Heart Failure 03/21/11

These workbooks may be used by clinicians to help educate patients (or caregivers) about chronic obstructive pulmonary disease (COPD) and heart failure. They provide simple explanations of each of the diseases and cover signs and symptoms patients should report to their physician, medications, diet and exercise considerations, and treatment information. The workbooks encourage patients to become involved in the management of their own chronic illnesses by helping them set goals and...

Care Coordination Measures Atlas 02/15/11

The Care Coordination Measures Atlas lists existing measures of care coordination, with a focus on ambulatory care, and presents a framework for understanding care coordination measurement. The atlas includes measures of patient and caregiver experiences with care coordination, as well as experiences of health care professionals and health system managers. It is intended for evaluators of projects aimed at improving care coordination and for quality improvement practitioners and researchers...

Diabetes Wellness Center 12/29/10

The Diabetes Wellness Center Web site, developed by the New York City Health and Hospitals Corporation (HHC), is an online resource for people who have been diagnosed with diabetes. The site provides tools and tips to help diabetes patients become active partners in their care management.

Resources include:

  • Advice from clinicians
  • Patient success stories
  • Healthy eating and exercise tips
  • Access to free blood monitors
  • Downloadable...
Using Telephone Support to Manage Chronic Disease 12/28/10

This report is intended to inform clinicians and health care managers about the benefits and challenges of telephone care services and programs for patients with chronic illnesses. The report is relevant to “traditional” telephone care services (delivered “live” by nurse care managers or other clinician counselors), as well as those that use automated technology to augment such programs.

Specifically, the report addresses:

  • How telephone care services can contribute to...
Implementing High Quality Telephone Care in Pediatric Practice 12/28/10

This presentation, available in audio and slideshow formats, provides pediatricians and their staff with information about the use of telephone care in pediatric practice, citing examples for the management of chronic diseases such as asthma. Associated handouts available for download include sample telephone care plans and forms for selected conditions.

This presentation is part of a series provided by the Quality Improvement Innovation Network, a program of the American...

Be In CHARGE! Parent Manual 11/08/10

Be In CHARGE! (Behavior Intervention for Change Around Growth & Energy!) is an intervention that combines behavioral strategies and nutrition information to increase the energy intake and growth rates of children with cystic fibrosis. The intervention utilizes a group treatment approach in which children and parents attend separate group workshops.

This Parent Manual and the accompanying Child Manual are designed to be used by health professionals in leading group...

Be In CHARGE! Child Manual 11/08/10

Be In CHARGE! (Behavior Intervention for Change Around Growth & Energy!) is an intervention that combines behavioral strategies and nutrition information to increase the energy intake and growth rates of children with cystic fibrosis. The intervention utilizes a group treatment approach in which children and parents attend separate group workshops.

This Child Manual and the accompanying Parent Manual are designed to be used by health professionals in leading group...

Bronson Methodist Hospital Patient Handouts 11/04/10

These resources can be used to educate patients on a wide range of health issues. The resources available include guides, brochures, flyers, and more.

Topics covered are:

  • Brain and nerves
  • Burn
  • Coumadin ® (also known as warfarin)
  • Fall prevention
  • Heart
  • Hip replacement
  • Intravenous access
  • Lovenox
  • Pulmonary
  • Safety issues
  • Self catheterization
  • Stool...

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