Implementing Disease Management Programmes within an Integrated Delivery System
Implementation of disease management programmes within an integrated delivery system (IDS) requires a multipronged approach utilising education, process changes, tools and communication to overcome barriers. Implementation efforts should be directed toward every member of the staff who comes in contact with the patient, not just the physician. Successful implementation of disease management programmes using the above approaches has made it easy for those within the Lovelace Health System IDS to do the `right things' for and by the patient. In this IDS, processes are embedded and transparent. Clinical data are presented at a patient level and are actionable. The horizontal and vertical integration of this IDS has facilitated the relative ease of disease management programme implementation. Combining the financial and clinical arms of the organisation as well as the presence of primary care and specialty care under one organisation has fostered degrees of collaboration not seen in most communities and has improved both processes and outcomes of care.
Medical education, Pharmacoeconomics, Practice guideline, Quality of care
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