Learning Objectives
Upon successful completion of this course, the student will be able to describe the factors that led to the implementation of disease management systems and the potential benefits of disease management; identify the key elements of comprehensive disease management systems; describe how disease management programs are being implemented in managed care organizations, discuss the impact of disease management systems on the pharmaceutical industry and the healthcare representative; and describe the strategies that pharmaceutical companies are developing to participate more fully in disease management.
Who Should Take This Course
Sales representatives, managers, and others whose companies offer disease management programs, have products utilized in disease management programs, or work with healthcare providers who design and implement disease management programs.
Career Applications/Benefits
Many pharmaceutical companies, pharmacy benefit management companies (PBMs), and private consulting companies have made a significant investment to develop and provide disease management services to healthcare organizations. Being able to demonstrate quality medical services is an important priority for managed care organizations (MCOs) seeking to gain a competitive edge in attracting new members, particularly the burgeoning senior market and employee health benefit contracts. This course will benefit those in pharmaceutical companies that have initiated disease management services focusing on specific diseases that complement their product line. Pharmaceutical therapies are often key components of disease management programs for conditions such as asthma, diabetes, and cardiovascular disease. Also, these types of programs are being widely discussed by healthcare providers, who may have questions or concerns about how disease management and associated clinical practice guidelines are being implemented.
Chapter Content
Chapter One: Introduction to Disease Management
- Concepts of Disease Management
- Benefits of Disease Management
Chapter Two: Elements of Disease Management
- Elements of Disease Management Systems
- Population Demographics
- Clinical Practice Guidelines
- Intervention Techniques
- Monitoring Patient Data
- Performing Outcomes Assessment
- Summary of the Elements of Disease Management
Chapter Three: Managed Care and Disease Management Programs
- Continuous Quality Improvement
- Key Issues
- Federal and State Disease Management Programs
Chapter Four: Impact of Disease Management on the Pharmaceutical Industry
- The Pharmaceutical Industry and Disease Management
- Role of the Healthcare Representative