Disease management programs for the underserved

Ronald Horswell, Michael K. Butler, Michael Kaiser, Sarah Moody-Thomas, Shannon McNabb, Jay Besse, Amir Abrams

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Disease management has become an important tool for improving population patient outcomes. The Louisiana State University Health Care Services Division (HCSD) has used this tool to provide care to a largely uninsured population for approximately 10 years. Eight programs currently exist within the HCSD focusing on diabetes, asthma, congestive heart failure, HIV, cancer screening, smoking cessation, chronic kidney disease, and diet, exercise, and weight control. These programs operate at hospital and clinic sites located in 8 population centers throughout southern Louisiana. The programs are structured to be managed at the system level with a clinical expert for each area guiding the scope of the program and defining new goals. Care largely adheres to evidence-based guidelines set forth by professional organizations. To monitor quality of care, indicators are defined within each area and benchmarked to achieve the most effective measures in our population. For example, hemoglobin A1c levels have shown improvements with nearly 54% of the population <7.0%. To support these management efforts, HCSD utilizes an electronic data repository that allows physicians to track patient labs and other tests as well as reminders. To ensure appropriate treatment, patients are able to enroll in the Medication Assistance program. This largely improves adherence to medications for those patients unable to afford them otherwise.

Original languageEnglish
Pages (from-to)145-152
Number of pages8
JournalDisease Management
Volume11
Issue number3
DOIs
StatePublished - Jun 1 2008
Externally publishedYes

Fingerprint

Disease Management
Population
Delivery of Health Care
Health Services
Student Health Services
Medication Adherence
Quality of Health Care
Smoking Cessation
Chronic Renal Insufficiency
Early Detection of Cancer
Hemoglobins
Asthma
Heart Failure
HIV
Guidelines
Exercise
Diet
Physicians
Weights and Measures
Therapeutics

ASJC Scopus subject areas

  • Health Policy

Cite this

Horswell, R., Butler, M. K., Kaiser, M., Moody-Thomas, S., McNabb, S., Besse, J., & Abrams, A. (2008). Disease management programs for the underserved. Disease Management, 11(3), 145-152. https://doi.org/10.1089/dis.2007.0011

Disease management programs for the underserved. / Horswell, Ronald; Butler, Michael K.; Kaiser, Michael; Moody-Thomas, Sarah; McNabb, Shannon; Besse, Jay; Abrams, Amir.

In: Disease Management, Vol. 11, No. 3, 01.06.2008, p. 145-152.

Research output: Contribution to journalArticle

Horswell, R, Butler, MK, Kaiser, M, Moody-Thomas, S, McNabb, S, Besse, J & Abrams, A 2008, 'Disease management programs for the underserved', Disease Management, vol. 11, no. 3, pp. 145-152. https://doi.org/10.1089/dis.2007.0011
Horswell R, Butler MK, Kaiser M, Moody-Thomas S, McNabb S, Besse J et al. Disease management programs for the underserved. Disease Management. 2008 Jun 1;11(3):145-152. https://doi.org/10.1089/dis.2007.0011
Horswell, Ronald ; Butler, Michael K. ; Kaiser, Michael ; Moody-Thomas, Sarah ; McNabb, Shannon ; Besse, Jay ; Abrams, Amir. / Disease management programs for the underserved. In: Disease Management. 2008 ; Vol. 11, No. 3. pp. 145-152.
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