Prevention & Management of Chronic Disease
Better Together.Chronic diseases are the leading cause of death and disability in the United States. They also are a key reason for rising healthcare costs.
- Eight of ten adults 65 and older have at least one chronic condition and approximately seven in ten have two or more.
- People affected by multiple chronic conditions are at risk of early mortality, poor functional status, and hospitalization. They also face significant out-of-pocket expenses for healthcare and prescription drugs.
Our goal is to help providers with the prevention and management of chronic diseases by supporting providers in preventing cardiovascular events, promoting tobacco cessation, improve the management of diabetes to decrease diabetes complications, identifying people at high risk for developing diabetes and chronic kidney disease. We have also included patient and family engagement and advance care planning as elements in chronic disease management.
Healthy behaviors directly contribute to positive health outcomes. Chronic disease self-management education programs also impact the development of long-term change for a healthy lifestyle. Improving health outcomes related to chronic conditions must be a joint effort between the healthcare professionals, the community, and the individual. From identifying at-risk individuals to providing self-management education and support, every individual contributes to and benefits from a collaborative approach.
Explore what we have provided under each topic below and choose which resource best fits your needs.
Advance Care Planning
Cardiovascular
ND – Heart Disease & Stroke Prevention Program
ND – NDC3-Connecting You to Community Health Programs
SD – Department of Health: Heart Disease and Stroke Prevention
SD – Better Choices Better Health
Validated BP Devices
American Heart Association (AHA) – Do You Know Your BP Numbers
AHRQ SHARE Approach Workshop Curriculum
CDC-Heart Disease
Cardiac Rehab
Million Hearts® 2027 – Cardiac Rehabilitation Tools & Resources
New – A Snapshot: Cardiac Rehabilitation in the Dakotas (April 2024)
Immunizations
Educating Adults with Chronic Health Conditions: Vaccination Resources
Million Hearts Tools and Resources
Million Hearts®
Million Hearts Cholesterol Management Protocols
Million Hearts Cholesterol Management Change Package
Million Hearts Hypertension Control Change Package for Clinicians
Million Hearts Self-Measured Blood Pressure Monitoring Tools
Chronic Kidney Disease
Chronic Care Management Visits
Diabetes
ND – Diabetes Prevention and Control
SD – Better Choices Better Health
SD – Diabetes Coalition
SD – Diabetes Prevention & Control
ADCES-Association of Diabetes Care & Education Specialists
AHRQ SHARE Approach Workshop Curriculum
American Diabetes Association
CDC – Diabetes
CDC Diabetes Self-Management Education and Support Toolkit
CDC When Diabetes Self-Management Education is Emergency Medicine
RHIhub-Rural Diabetes Prevention and Management Toolkit
Long Term Care
LTC Hypoglycemia Management Protocol
Diabetes Prevention
ND – NDC3: Connecting You to Community Health Programs
ND – Live Better-Virtual National DPP
SD – Live Your Best – Virtual National DPP
SD – Undo the Risk – Prediabetes
SD – Diabetes Coalition
SD – Diabetes Prevention and Control
SD – Better Choices Better Health
American Diabetes Association – Diabetes Pro©
Powerful Tools for Caregivers
AHRQ SHARE Approach Workshop Curriculum
CDC Diabetes Resources
DPP Location Finder
Medicare DPP sites
National Diabetes Prevention Program Coverage Toolkit
Association of Diabetes Care & Education Specialists (ADCES)
Engagement of Patients and Families
SD – AARP & South Dakota 211 Helpline Center
SD – Better Choices Better Health
GPQIN Teach-Back Training
GPQIN Motivational Interviewing Handout
GPQIN Reduce Smoking and Improve Pain Management
AHRQ SHARE Approach Workshop Curriculum
AHRQ – Guide for Developing a Community-Based Patient Safety Advisory Council
AHRQ – Guide to Patient and Family Engagement in Hospital Quality and Safety
Motivational Interviewing – Engage and Support for Change
CDC – Caring for Yourself When Caring for Another
CMS – Person and Family Engagement Toolkit
PCPCC – 6 Steps to Creating a Culture of Person and Family Engagement in Health Care
Powerful Tools for Caregivers
Video – Motivational Interviewing-Foundation for Patient-Centered Care
Medicare Annual Wellness Visits (AWV)
Tobacco Prevention
Great Plains QIN Break the Chain of Tobacco/Nicotine Dependence Change Package
South Dakota Tobacco Control Orientation Toolkit
American Lung Association: Quit Smoking
National Behavioral Health Network for Tobacco & Cancer Control
Smokefree.gov
CDC Clinical Cessation Tools
Substance Abuse and Mental Health Services Administration (SAMHSA)
Tobacco Cessation Change Package
Tobacco Free Life
University of California San Francisco Smoking Cessation Leadership Center
GPQIN Reduce Smoking and Improve Pain Management
Prevention & Management of Chronic Disease News
News
Improper Cuff Size Leading To Inaccurate Blood Pressure Readings at Home
Updated Community Data Reports [Q1 2024]: Addressing Gaps, Achieving Growth and Quality Improvement
South Dakota Tobacco Control Program Webinar Series on Tobacco Cessation
The Impact of Social Factors on Hypertension and Cardiovascular Health
- PDF Documents: Get Adobe® Reader®
Great Plains Quality Care Coalition
Our Vision: Through collaboration and partnership, we aspire to make healthcare in the Dakotas the best in the nation. We have partnered with committed nursing homes, community leaders and healthcare organizations to improve the care in our communities. Better together.