Many hospitals and insurers have developed disease management (DM)
programs to educate people who have
heart failure about their disease. Disease management
includes a broad range of health services, such as home health care, visiting
nurses, and rehabilitation. The goal of DM programs is to offer a combination
of treatment, complication prevention, and education in a variety of
Although it is a relatively new concept, studies and reports suggest
that DM programs offer two main benefits:
People receive more customized
DM programs may reduce the overall cost of heart failure
care by reducing the need for hospital stays.
How do DM programs work?
A range of providers and health plans focus on the following three
aspects of heart failure treatment.
Patient education: Teaching people about heart failure and how they can prevent progression
of their condition
Proper monitoring: Educating people on how to notice a flare-up of symptoms or a change in
their symptoms of heart failure
Decision support: Helping people decide when they should make a doctor appointment versus
when to visit an urgent care center
To achieve these goals, heart failure disease management programs
usually provide a wide variety of services. These services can include dietary
consultations, health assessments, medicine information, weight-loss help,
sodium/fluid management, and exercise programs and facilities. One of the main
benefits of disease management is that it can be delivered by case managers and
program coordinators right in your own home.
The main reason for DM programs
DM programs aim to decrease the chance of sudden flare-ups of
symptoms. The most expensive part of heart failure treatment is the treatment
of sudden (acute) flare-ups of symptoms. If an acute flare-up happens, you will
often be hospitalized, your drug regimen will usually be changed, and the
number of times that you see a doctor will increase. You can help prevent sudden flare-ups by following your self-care plan and taking your medicines correctly.
Are there DM programs everywhere?
DM programs are available in some hospitals and through
large health insurers. But they are not available at every hospital
or through every health plan. If you are interested in taking part in an
organized DM program, ask your doctor or nurses about any programs for which
you might be eligible.
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ByHealthwise Staff Primary Medical ReviewerRakesh K. Pai, MD, FACC - Cardiology, Electrophysiology E. Gregory Thompson, MD - Internal Medicine Martin J. Gabica, MD - Family Medicine Specialist Medical ReviewerStephen Fort, MD, MRCP, FRCPC - Interventional Cardiology