chronic disease

Explore a team-based, technology-enabled approach to managing chronic medical conditions implemented by an internal medicine practice to help care become more patient-centric and to achieve better outcomes at lower cost…

Background: Heart failure is one of the costliest chronic diseases in the United States; it is the chronic disease that results in the most readmissions for Medicare patients annually…

This presentation discusses the development of an educational program and protocol for serious illness communication with an interprofessional team of nurse care coordinators and social workers…

Lack of coordination leads to health care that is fragmented, inconsistent, and poorly planned. Conversely, effective care coordination supports achieving the Quadruple Aim. Care coordination, roles of RNs in care coordination, and implications for healthcare delivery are explored…

This session discusses the interventions leading to the successful implementation of RN-led visits for chronic disease management in the primary care setting…

One common problem faced by primary care practices today is the limited access for patient appointments. “With larger numbers of older adults comes an increased need for primary care, including care for individuals with chronic physical and mental health diagnoses and comorbidities…

The US is an outlier when it comes to healthcare spending. According to the Commonwealth Fund, the US ranks 11th out of 11 industrialized countries studied in global healthcare system performance for four of the top five indicators, ranking in the top 2 for only one indicator care process…