Chronic care


Pediatric Documentation Templates 04/28/10

These templates for acute and chronic conditions can assist providers when documenting a visit in an electronic health record by increasing the efficiency with which a visit is documented and enhancing adherence to clinical guidelines for those conditions. The templates are based on national guidelines and may be modified to suit a particular clinical practice’s needs.

Template examples available for download:

  • Attention deficit hyperactivity disorder diagnosis and...
4 Steps to Control Your Diabetes. For Life. 04/01/10

This booklet for consumers provides four steps to help diabetic patients manage their diabetes and live a long and active life. The steps include learning about diabetes, knowing the diabetes ABCs, managing diabetes, and getting routine care. The booklet provides ways for patients to work with their health care teams to create a diabetes care plan and how to make wise choices in diabetic care each day. The booklet is available in multiple languages.

Improving Asthma Care for Children Toolkit: Best Practices in Medicaid Managed Care 03/30/10

This toolkit provides strategies to improve asthma care tested by a diverse group of health plans serving Medicaid consumers. The inventive methods, targeted for children with asthma, can also be used for adults. The toolkit suggests the need for collaborative approaches and documentation to support further investments for the following techniques:

  • Developing and creatively using asthma registries
  • Using innovative methods to reach high-risk members
  • ...
Improving Medicaid Managed Care for Youth with Serious Behavioral Health Needs: A Quality Improvement Toolkit 03/04/10

This toolkit is designed primarily for managed care organizations that want to improve administrative and clinical practices that support the delivery of services to children and youth with serious behavioral health needs, as well as their families. In addition, purchasers of managed care services for this population can use the toolkit to identify promising approaches for their managed behavioral health care programs. Providers can also learn from the initiatives described, and implement...

Diabetes Tools & Resources 02/03/10

These tools are a set of instruments to help patients create personalized action plans to lead a healthier lifestyle. The strategies given help patients keep their diabetes under control while managing it from different directions.

Tools available are:

  • Diabetes-friendly recipes
  • My diabetes health assessment
  • Diabetes quiz
  • Personal stories
  • More personal stories
  • Diabetes and other educational brochures...
Help for Smokers and Other Tobacco Users: Quit Smoking 01/21/10

This consumer guide is for people who have tried several times to quit smoking.

It covers the following:

  • Reasons for quitting
  • Getting ready to quit
  • Getting medicine
  • Getting help
  • Staying quit
Health Care Coordination Toolkit 01/20/10

The Health Care Coordination Toolkit is designed to assist individuals, guardians, and teams in the proper coordination of health care for adults with developmental disabilities. It includes forms to guide the information that should be tracked for effective care coordination.

The intent of the toolkit is to assure that individuals receive timely medical followup, testing, and monitoring for adequate health care delivery.

The materials are organized into the following...

Bypassing the Blues 01/13/10

This Web site for health professionals provides information and resources to incorporate post-coronary artery bypass graft depression screening and treatment programs into routine clinical care. It is based on a clinical trial that examined the impact of collaborative care for depression in a population with cardiac disease.

This site is divided into the following sections:

  • Bypassing the Blues study materials
  • Patient education and screening
  • Study...
Chronic Disease Cost Calculator 12/16/09

The Chronic Disease Cost Calculator is a downloadable tool that supports States in:

  • Estimating State Medicaid expenditures for six chronic diseases–congestive heart failure, heart disease, stroke, hypertension, cancer, and diabetes.
  • Generating estimates of the costs to Medicaid of selected chronic diseases using customized inputs (e.g., prevalence rates and treatment costs).
Is the Community Oriented Correctional Health Services Program Right for Your Community? 10/27/09

Community Oriented Correctional Health Services (COCHS) is a program that fosters partnerships between local correctional facilities and local health care providers to provide quality care inside a correctional facility, and to connect returning inmates to their local community health centers for continued care after release. The questionnaire helps interested parties determine whether the COCHS program is suitable for their jurisdiction.


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