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Evidence-Based Care & Patient Self-Care Solutions

Effective chronic care depends on informed and engaged consumers - partnering with providers who consistently deliver evidence-based care. HealthSciences Institute has designed a suite of evidence-based tools to improve patient engagement and provider delivery of recommended care. Unlike traditional patient education materials, these tools are designed to activate both patients and providers.

Want to Improve HEDIS or Pay for Performance Outcomes for as Little as $2.50 per Member?

HealthSciences Institute's patient self-care tools can help your case managers, disease managers and providers improve key performance indicators. We have condensed the latest care guidelines and self-care steps to facilitate ready reference and tracking -- by patients and providers.

Our care tools can easily be inserted in our patient pocket folders -- also ideal for storing notes, prescription information, or other patient materials. All tools can be branded (front and back) with space available for ADA, language translation information, or disclaimer. To support health literacy, all tools are written at the 7th grade reading level -- with large text size for seniors with visual impairment.


Senior Health Organizer - RAND estimates that U.S. seniors receive recommended care only one-third to one-half of the time. This tool is designed to help seniors and providers track delivery of evidence-based preventative care services. And, by recognizing and treating common senior health risks such as polypharmacy, falls, depression, incontinence, and cognitive impairment, unnecessary hospitalizations and loss of independence can be prevented. It's a great template for the "Welcome to Medicare" visit - and an essential resource for any Medicare Advantage plan.

 


Diabetes Health Organizer - this tool incorporates the latest American College of Cardiology and American Diabetes Association evidence-based care guidelines and complication screening steps. It's the perfect tool for improving A1C, lipid and blood pressure management -- and driving adherence with recommended weight, retinal, kidney, foot and dental screenings. The Diabetes Health Organizer also overviews daily self-care steps -- and tips for healthy eating and activity.

 

Heart Health Organizer I

(Coronary Artery Disease and Heart Failure) - the Heart Health Organizer I is designed to encourage patients with coronary artery disease (CAD) or heart failure (HF) to request and track evidence-based treatments, medications, and screenings - supporting improved quality and cost outcomes. It incorporates the latest American Heart Association and American College of Cardiology care guidelines for heart disease and HF. Heart attack and HF complication warning signs and daily self-management steps are overviewed. Recommendations for healthy eating, activity, socialization, engagement, and stress/depression management are also included in this tool.

 

 


Heart Health Organizer II

(Heart Failure) - the Heart Health Organizer II is designed to encourage patients with heart failure (HF) to request and track evidence-based treatments, medications, and screenings - supporting improved quality and cost outcomes. It incorporates the latest American Heart Association and American College of Cardiology care guidelines for HF. HF complication warning signs and daily self-management steps are overviewed. Recommendations for healthy eating, activity, socialization, engagement, and stress/depression management are also included in this tool.

 


Heart Health Organizer III (Coronary Artery Disease) - the Heart Health Organizer III is designed to encourage patients with coronary artery disease (CAD) to request and track evidence-based treatments, medications, and screenings - supporting improved quality and cost outcomes. It incorporates the latest American Heart Association and American College of Cardiology care guidelines for heart disease. Heart attack and HF complication warning signs and daily self-management steps are overviewed. Recommendations for healthy eating, activity, socialization, engagement, and stress/depression management are also included in this tool.

 

 


Personal Medication Organizer - polypharmacy is a critical issue for most consumers with one or more chronic diseases. This innovative tool has been developed to educate consumers about medication use and to support daily medication adherence. It includes a comprehensive medication log for tracking up to 30 medications and supplements. The Personal Medication Organizer was released in January of 2006 - just in time for Medicare Part D implementation. The Personal Medication Organizer, along with your branded pill boxes, can help you support your patients or members during this transition.

 


Depression Recognition & Management Tool -

It is well-documented that depression is one of the most frequently unrecognized and untreated chronic medical conditions. Yet, depression exacts tremendous human and financial costs. Significant indirect costs of depression are often manifested through poorly managed self-care of chronic diseases, or unhealthy behaviors such as overeating, physical inactivity, substance abuse, etc. Getting the message to consumers that depression is a medical condition that can be treated, educating them about evidence-based care options, and providing them "the words" that they can use to approach primary care physicians is critical. Understanding Depression has been designed to promote depression prevention, recognition, evidence-based care, and good self-care.

 

 

 

Please contact us to learn more about all of our self-care tools. We can help your organization develop strategies and custom tools for reaching at-risk populations.

Is your organization interested in promoting a product or service? Ask us about product sponsorship opportunities.

 

Case Studies

A Comprehensive Program for Improving Health Care Outcomes in the Medicaid Population

A Medicaid Managed Health and Special Needs Plan was looking for strategies to engage members and their physicians in improving evidence-based care delivery and disease self-management. Over a four-year period, five campaigns were launched to distribute a number of health plan branded patient tools:

Over 10,000 seniors were targeted with the Senior Health Organizer to support senior health promotion, disease/condition prevention and screening through application of the U.S. Preventative Service Taskforce and RAND ACOVE guidelines—in coordination with Medicare’s Welcome to Medicare program for new Medicare enrollees.

Diabetes and Heart Disease evidence-based care adherence and daily self-management were supported through the distribution and promotion of the Diabetes and Heart Disease Organizers.

A health plan-wide campaign to support medication adherence and polypharmacy was also supported through deployment of  the Personal Medication Organizer.

To address the problem of unrecognized depression among members of all ages, a depression recognition campaign was launched to support depression recognition, screening and evidence-based care through use of the Depression Recognition and Management Tool.

All tools were reviewed and approved by the Minnesota Department of Human Services for health literacy and guideline adherence.

Promoting Evidence-Based Care and Self-Management for Coronary Artery Disease(CAD) and Heart Failure (HF) in a Blue Cross Blue Shield Affiliate

A leading east coast Blue Cross Blue Shield Affiliate aimed to reduce variation in the delivery of American College of Cardiology/American Heart Association standards of care for members with CAD and HF across commercial and Medicare business units. The following steps were taken:

Claims data were reviewed to identify members with Coronary Artery Disease and Heart Failure  

The Heart Health Organizer II (Coronary Artery Disease) tool was customized and branded for delivery to over 20,000 members with Coronary Artery Disease.

The Heart Health Organizer III (Heart Failure) tool was customized and branded for distribution to over 10,000 members with Heart Failure.

An implementation plan was developed and launched to distribute the tools and coordinate the campaign in partnership with network physician practices.

 

 

Evidence-Based Guideline Sources

Broader application of evidence-based care standards is our best hope for promoting consumer health, independence and resource management -- it is a staple of professional practice in disease management. 

There are a number of sources of evidence-based care guidelines. A few of the more popular ones include:

Agency for Health Care Research & Quality

National Guideline Clearing House

Institute for Clinical Systems Improvement

Rand Corporation

National Institutes of Health (NIH)

American College of Cardiology

American Diabetes Association

Health Promotion Evidence-Based Standards

National Guideline Clearinghouse

Centers for Disease Control & Prevention

Canadian Task Force on Preventative Health Care

American Academy of Family Physicians: Summary of policy recommendations for periodic health examinations, revised 2003

Research Resources
Several excellent research journals are available to keep up to date with emerging evidence in chronic diseases, chronic care, and aging issues including:

Disease Management

Journal of the American Geriatrics Society

Archives of Internal Medicine

Journal of Behavioral Medicine

The Gerontologist

Journals of Gerontology

Journal of Gerontological Nursing

 
 
© 2007 HealthSciences Institute
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