Benefits of Disease Management
This module describes three key benefits of DM over traditional fee-for-service healthcare delivery. First, by focusing on interrelationships among therapy decisions, DM can reduce, rather than just shift, costs. Second, by identifying each disease's unique treatment requirements, DM can select the most cost-effective course of treatment for that disease. Third, by focusing on clinical treatment pathways, DM can better align clinical, economic and humanistic goals. However, this module also examines the challenges in providing definitive outcomes-based evidence of DM's cost-effectiveness.
Clinical Practice Guidelines in Disease Management
This module begins with a general overview of clinical practice guidelines, and then describes how they are developed and implemented. Case study examples show how clinical practice guidelines are being implemented in healthcare organizations.
Concepts of Disease Management
This module examines four concepts crucial to most disease management systems: a focus on the disease rather than individual episodes, integration of healthcare settings, value-based reimbursement, and continuous clinical evaluation and feedback.
Disease Management as a Component of Managed Care
This module discusses the key elements of disease management systems and explores how disease management programs are evaluated.
Federal and State Disease Management Programs
This module discusses the provisions for, and types of DM programs presently and prospectively being developed, at state and federal levels.
Population Demographics in Disease Management
This module describes the role of demographic data in DM systems, and provides case study examples of the use of such data in devising and evaluating DM programs.
Role of Outcomes in Clinical Practice Guidelines and Disease Management
This module provides an overview of how clinical practice guidelines are developed and implemented. It also discusses the key elements of disease management, including outcomes assessments.
Role of the Healthcare Representative in Disease Management
This module describes the significant impact disease management has had on healthcare representatives in several key areas, including the knowledge-base they need, the audience they target, and the services they are expected to provide.
The Life Science Industry and Disease Management
This module examines disease management's significant impact on the life sciences industry. Specifically, it describes life sciences companies' new relationships with healthcare organizations, in which, rather than just supplying products, they help develop, implement, and assess the outcomes of disease management programs and share in a DM program's risks and rewards. The module also describes new organizational, marketing and risk-sharing strategies life sciences companies are adopting to take advantage of DM business opportunities.
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