title: Disease management as a performance improvement strategy.
abstract: Disease management is a strategy of organizing care and services for a patient population across the continuum. It is characterized by a population database, interdisciplinary and interagency collaboration, and evidence-based clinical information. The effectiveness of a disease management program has been measured by a combination of clinical, financial, and quality of life outcomes. In early 1997, driven by a strategic planning process that established three Centers of Excellence (COE), we implemented disease management as the foundation for a new approach to performance improvement utilizing five key strategies. The five implementation strategies are outlined, in addition to a review of the key elements in outcome achievement.
authors.affiliation: Onslow County Hospital Authority/Onslow Memorial Hospital, Jacksonville, North Carolina, USA.
authors.forename: S
authors.initials: S
authors.lastname: McClatchey
mesh_terms: D001249:Asthma / Q000628:therapy; D019985:Benchmarking; D002648:Child; D002908:Chronic Disease / Q000628:therapy*; D020000:Decision Support Systems, Clinical; D019468:Disease Management; D004636:Emergency Service, Hospital / Q000592:standards; D019317:Evidence-Based Medicine; D006333:Heart Failure / Q000628:therapy; D006744:Hospital Bed Capacity, 100 to 299; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy; D009657:North Carolina; D019982:Organizational Case Studies; D017063:Outcome Assessment, Health Care; D010934:Planning Techniques; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000379:methods*; D015203:Reproducibility of Results; D020521:Stroke / Q000628:therapy