What is chronic care management program?

What is chronic care management program?

Chronic care management (CCM) services are generally non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient.

What important role does the RN play in the management of individuals with chronic illness?

RNs conduct post-hospitalization phone calls to fa- cilitate appropriate follow-up after acute care hospitalization. They also provide significant patient and family education, a critical component of successful chronic disease management.

Why is it important for nurses to understand chronic illness?

What can nurses do about this issue? Ensure that the patient, the patient’s family and other health professionals understand the diagnosis, the treatment and where to obtain more information on the chronic disease. Listen to the patient’s wisdom and collaborate with them – they are the ones living with the disease.

What is chronic disease care?

Chronic Disease Management (CDM) is ongoing care and support to assist individuals impacted by a chronic health condition with the medical care, knowledge, skills and resources they need to better manage on a day to day basis.

How can the nurse facilitate best practices for managing chronic illnesses with the elderly?

Using structured communication processes and tools, such as handover mnemonics, can help to overcome barriers to effective handovers. Patient care coordination is enhanced by sharing information appropriately, collaborating with other healthcare professionals, and preparing effective referrals and consultations.

What are the three most common identified chronic diseases long term health conditions nationally?

Chronic health conditions experienced were:

  • Mental and behavioural conditions – 1.1 million people (22.7%)
  • Back problems – 807,000 people (16.8%)
  • Arthritis – 676,000 people (14.1%)
  • Asthma – 572,200 people (11.9%)
  • Heart, stroke and vascular disease – 226,000 people (4.7%)
  • Diabetes mellitus – 217,300 people (4.5%)