Building a Sustainable Collaborative Disease Management Model
In Phase I, NCAC organized three teams (PowerPoint, 1 slide, 42KB) of medical, pharmacy, family support, environmental, daycare, and school health providers to conduct interventions with children with asthma and their families in high-need areas (PowerPoint, 1 slide, 151KB) across the District of Columbia where pediatric hospital discharges for asthma are high. Project teams met every other week, using a case review process to develop collaborative care intervention, data-sharing, and administrative protocols (PowerPoint, 1 slide, 22KB). See past issues of Collaborative News (Word, 7 pages, 1.42 MB) for more information.
Key Benefits of Collaborative Disease Management Model
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It establishes a community wide support system for disease management and emergency room re-direct programs, providing alternative wrap-around services and collaborative monitoring of targeted patient groups. |
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It enables the integration and pooling of public, non-profit and commercial provider resources to create tailored, longitudinal care especially for high-risk populations, |
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It allows for more efficient and effective utilization of existing community based service projects, programs and capabilities, expanding and linking the roles of pharmacists, nutritionists, school nurses, case workers, mental health therapists, drug treatment specialists, environmental health workers, etc. as extensions of primary care physician practices, and |
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It enables tighter accountability for expenditure of health care dollars and establishes clearer benchmarks for provider performance reimbursement and cost savings sharing initiatives. |