Chronic Disease ManagementBetter 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.
Chronic Disease Management News
Chronic Disease Training Events
Advance Care Planning
Million Hearts Tools and Resources
Million Hearts® 2022
Million Hearts Cholesterol Management Protocols
Million Hearts Hypertension Control Change Package for Clinicians
Million Hearts Self-Measured Blood Pressure Monitoring Tools
Chronic Kidney Disease
Engagement of Patients and Families
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
Great Plains Quality Care Coalition
Our mission is 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.