In the two years since its passage, the Patient Protection and Affordable Care Act (ACA) has sent major ripples across the healthcare landscape. ACA has also underscored the value of disease management in population health as a strategy to improve health outcomes and slam the brakes on healthcare spend.
To illustrate the contributions of disease management across the care continuum, the Healthcare Intelligence Network has compiled 38 Disease Management Metrics: Population Health Benchmarks to Drive Accountable Care.
Through a series of 38 graphs and charts, this 35-page resource dives deep into several years of market research to document the role and outcomes of disease management in 11 key areas, as well as the high-focus diseases and health conditions of these initiatives:
Obesity and Weight Management Diabetes Management Healthcare Case Management Medication Adherence Reducing Hospital Readmissions Care Transitions Management Patient Registries Health Risk Assessments Reducing Avoidable Emergency Room Visits Health and Wellness Incentives Health Coaching
This collection of metrics affirms that while the ""silo"" model for disease management still exists, a more integrated approach to population health is taking shape, of which disease management for individuals with chronic illness is a critical layer.
Sample Data: Clinical Diagnoses Most Responsive to Case Management
These data are culled from responses from hundreds of healthcare organizations to HIN benchmark surveys conducted from 2010 to 2012.
The following sampling of the benchmarks and metrics included in this guide illustrate how prominently disease management figures into key PPACA initiatives:
Obesity and Weight Management:
What percentage of organizations offer programs in obesity and weight management? What are the targeted populations of these programs? How are program participants identified? What are key program components? What is the average reported program ROI?
What percentage of organizations offer programs in diabetes management? What are key program components? Should incentives be offered to patients and plan members for successful diabetes management? What is the greatest challenge of diabetes management?
Healthcare Case Management:
Which populations are targeted by case managers? Which health conditions are targeted by case managers? Which clinical diagnosis is most responsive to case management efforts? How does disease management fit into case managers' responsibilities?
Reducing Avoidable Hospital Readmissions and ER Visits:
At which health conditions are programs to reduce avoidable utilization directed? What role does disease management play in reducing avoidable utilization? Which health conditions generate the most avoidable ER visits? What is the contribution of disease management in reducing avoidable ER visits? Which health conditions are most receptive to interventions to boost medication adherence? Is disease management training a requirement for an organization's care transition team?
HRAs and Patient Registries:
Which health conditions are the focus of HRA? Are incentives offered for HRA completion? How is aggregate HRA data utilized? How prevalent are disease management registries? What is the main focus of patient registries? Which health data is included in the registry?
Health and Wellness:
For which health improvement programs do you offer incentives? Which incentives are most effective in promoting health behavior change? Which health conditions are most frequently targeted by health coaches? What is the impact of health and wellness coaching on health status?