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The Disease Manager's Handbook

Author(s): Rufus Howe, RN, MN, American Healthways, Inc.
Details:
  • ISBN-13: 9780763747831
  • ISBN-10:0763747831
  • Paperback    265 pages      © 2005
Price: International Sales $92.95 US List
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Overview

Approximately 3,500 people in the United States work in the front lines of disease management. According to the current trajectory, that number may climb to more than 10,000 by the year 2010.  With this impending growth, new resources are needed in academic preparation, ongoing professional support, and certification for disease managers. The Disease Manager’s Handbook, by Rufus Howe, RN, MA sets the stage to formalize the disease management profession as a whole, while providing disease managers with a reference and professional structure for their practice.

Written on the tenet that disease management is a powerfully effective and efficient intervention, The Disease Manager’s Handbook is the first and only text that spells out the practice of disease management, providing the reader with the knowledge and proficiency necessary to service their patients with expert knowledge, skills, and compassion. Howe writes concisely and clearly, providing easy-to-follow learning objectives and challenging questions at the end of each chapter, designed to fuel critical thinking.

ShowKey Features

  • Combines clinical and business related content necessary for effective disease management
  • Broad application to professional and learning environments
  • Innovative approach to the subject – ties in ten underlying issues applicable to any disease management program
  • Fully supported by the Case Management Society of America
  • Will most likely be used as a basis for starting a new profession

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ShowTable of Contents

Table of Contents
Forward
Preface
Biography
Affiliation
Disclaimer
Introduction

Disease Management as a Business
Disease Management as a Practice
Common Questions
What Is Disease Management?
Who Pays for Disease Management?
Who Does Disease Management?
What Is the Professional Preparation for Disease Managers?
Is There a Professional Organization Dedicated to Disease Managers?
Is There Certification for Disease Managers?
When Did Disease Management Start?
Terms Used in This Handbook

Chapter 1.Disease Management Context and Model
Overview
Disease Manager Approach
Intervention Sources
Target Population
Communication
Knowledge and Skill Translation
Behavior Change
Outcomes
Relationships to Health Care Team
Longitudinal Care

Chapter 2.The Past, Present, and Future of Disease Management
Overview
Disease Management Past
Disease Management Present
Disease Management Future

Chapter 3.Disease Management Program Designs
Overview
High Acuity Disease Management
Common Chronic Disease Management
Other Chronic Disease Management
Rare Chronic Disease Management
Screening
Primary Prevention
Pharmaceutical

Chapter 4.Value Proposition For Disease Management
Overview
Clinical Value
Financial Value
Educational Value
Satisfaction Value
Disease Management Value Per Program Design
Determining the Value of Disease Management
Who Is in The Group?
What Are We Going to Improve?
What Are We Going to Do?
Return on Investment
Regression to the Mean
Proving the Value Proposition

Chapter 5. Telephonic Disease Management
Overview
Engagement – The First Call
Clinical Information – The Second Call
Current Status
Medications
Problem List
Utilization
Assessment
Care Planning and Care Giving

Chapter 6. Hospital-Based Disease Management
Overview
Standards Governing Hospital-Based Disease Management
Acute Myocardial Infarction Disease Management
Follow-up-Based Disease Management
Procedure-Based Disease Management
Condition-Based Self-Care Disease Management

Chapter 7. Clinical Basis For Disease Management
Overview
Evidence-Based Medicine
Research Pyramid
Program Outcomes
Financial Outcomes
Clinical Outcomes
Quality of Life
Satisfaction Outcomes
Tying it All Together

Chapter 8. Developing a Disease Management Program
Overview
Member Identification
Predictive Modeling
Segmentation
Clinical Content
Stratification
Assessment
Assessment Types
Form-Based Assessment
Nested Assessment
Branch Chain Logic
Assessment Building
Care Planning
Care Giving
Motivational Interviewing
Goal Setting

Chapter 9. Operational Considerations For Disease Managers
Overview
Primary Disease Management Model
Team Disease Management Model
Program Participation Strategies
Length of the Call
Guiding the Conversation
Ancillary Staffing
Demand Management
Clinical Judgment
Guidelines
Algorithms
Case Management Interaction
Physician Interaction

Chapter 10. Patient Counseling Techniques
Overview
Discussion Format
Informed and Shared Decision Making
Goal Setting

Chapter 11. Behavior Change
Overview
Behavior Change for Disease Managers
Behavior Change – Past to Present
Experience Is The Best Teacher
Using Questioning As A Means to Learn
Behavior Can Be Learned
Memorize or Understand?
Behavior Is A Result of Motivation to Reach A Higher Need
Practice Makes Perfect
You Behave That Way Because of Who you Are, and Where You Are
Health-Related Behavior Change
Health Belief Model (HBM)
Stages of Change or Transtheoretical Model
Consumer Information Processing (CIP) Model
Adherence
Disease Manager’s Role in Behavior Change

Chapter 12. Remote Patient Monitoring
Overview
Cost Outcomes For RPM
Remote Monitoring Options
Operational Aspects Of RPM

Chapter 13. Clinical Information Systems
Overview
Basic CIS Principles
Data Validation
Clinical Logic
Interface
Longitudinal Design
Reporting
CIS Components
Using the CIS
Disease Manager’s Role In CIS Design

Chapter 14. A Career in Disease Management
Overview
Registered Nurse
Pharmacist
Dietician
Health Educator
Provider Service Manager
Dialer Administrator
Documentation Specialist
Patient Care Coordinator
Telephonic Screener
Customer Service Position

Chapter 15. Basic Health Behaviors
Basic Health Behaviors

Chapter 16. Understand and Follow Your Doctor’s Plan of Care
Overview
The Issues
Visit Agenda
Patient-Centered Instructions
Tracking

Chapter 17.Take Medications As Prescribed
Overview
Medication Adherence and HIV/AIDS
General Medication Adherence Themes
Medication Adherence and the Elderly
Pharmacist Role in Medication Adherence
Polypharmacy
Medication Adherence Reminder Devices
The Disease Manager’s Role In Medication Adherence

Chapter 18. Follow Recommended Health Screening
Overview
Screening
Aspirin Use for Prevention of Cardiovascular Events
Breast Cancer
Colorectal Cancer
Cervical Cancer
Prostate Cancer
Cholesterol
Coronary Artery Disease
Depression
Diabetes
Drug Abuse
Family Violence
Hearing Impairment
Hormone Replacement Therapy
Human Immunodeficiency Virus
Hypertension
Glaucoma
Obesity
Osteoporosis
Problem Drinking
Rubella
Thyroid Disease
Visual Impairment
Screening for Diabetics
Disease Manager’s Role in Health Screening

Chapter 19. Get Adequate Sleep
Overview
General Sleep Health
Sleep Apnea
Assessment of Sleep Apnea
Diagnosis of Sleep Apnea
Narcolepsy
Assessment of Narcolepsy
Diagnosis of Narcolepsy
Treatment of Narcolepsy
Insomnia
Assessment of Insomnia
Diagnosis and Treatment of Insomnia
Disease Managers and Sleep Health
Disease Managers and Sleep Health
Resources

Chapter 20. Keep a Healthy Weight and Eat Well
Overview
Impact of Overweight and Obesity of Health Status
Treatment Goals
Assessment
Weight Loss and Weight Maintenance
Weight Loss Medications
Weight Loss Surgery

Chapter 21. Get Adequate Exercise
Overview
Exercise and the Common Disease Manager
Is it Exercise or Activity?
Talking to a Sedentary Person About Exercise
Exercise Principles
Qualifying Patient for Exercise Type and Intensity
Exercise and Chronic Disease
Training Principle
Exercise Prescription
Resources

Chapter 22. Drink Alcohol in Moderation
Overview
Definition of Alcohol Use and Abuse
Alcohol Dependence Statistics
Alcohol and Medication Interactions
Assessing for Alcohol Dependence
Alcohol Treatment Options

Chapter 23. Manage Stress
Overview
Stress Assessment
Approach to Stress Reduction
Caregiver Stress
Stress Reduction Methods
Psychotherapy
Relaxation
Techniques
Medications for Stress
Alternative Medications

Chapter 24. Avoid Tobacco
Overview
Likelihood of Quitting Smoking
Women and Smoking
Smoking Cessation and Weight Gain
Nicotine is Addictive
Withdrawal Symptoms
Approaches to Smoking Cessation
Strategies for Smoking Cessation
Resources

Chapter 25. Prevent Accidents
Overview
Approach to Accident Prevention
Fire Safety
Wood Stove
Kerosene Heaters
Gas-Fired Space Heaters
Portable Electric Heaters
Cooking Equipment
Cigarette Lighters and Matches
Upholstered Furniture
Mattresses and Bedding
Wearing Apparel
Flammable Liquids
Smoke Detectors
Escape Plan
Medication Errors
Example Medication and Health History Form


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ShowAbout the Author(s)

Rufus Howe, RN, MN-American Healthways, Inc.

Rufus Howe has a background as an educator, exercise counselor, and internal medicine and family nurse practitioner. In these capacities, he has run a human performance laboratory, provided primary care, and participated in case and disease management initiatives. Rufus has published texts and articles in a wide range of topics to include clinical medicine, health promotion, health systems integration, case management, disease management, and clinical information system design. He has degrees from S.U.N.Y. at Cortland, NY (education); University of Southern Maine (nursing), and Oregon Health Sciences University (nurse practitioner). Rufus lives in Brentwood, Tennessee with his wife Ruth and has two grown sons Christopher and Gregory.

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ShowAppropriate Courses

This book is appropriate courses:

“Fundamentals of Disease management” taught within schools of nursing or public health.

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