CMO Disease Management

Disease Management Overview

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Overview | Program Goals | Program Components | Program Guiding Principles | CMO Advantages

Overview
Over 125 million people in the United States suffer from at least once chronic illness. Four diseases - asthma, congestive heart failure, depression and diabetes Ð top the list, affecting nearly half of those American. For people aged 65 years or older, 88% have at least one chronic condition, and 48% of those individuals have 3 or more conditions!

Scientific evidence is proving that organized, proactive disease management programs can have a tremendous impact on the quality of healthcare and the treatment of chronic illness.

CMO offers Disease Management Programs to health plans, hospitals, healthcare providers, federal and state agencies and employers. From population profiling, patient identification, assessment and program enrollment to working with hand-in-hand with primary care providers, specialists, pharmacists and members to create and manage treatment plans, our goal is to add value across the healthcare delivery process and support patients with health maintenance, self-care and disease prevention programs.

CMO's Disease Management programs go well beyond telephonic care or physician education. We provide attentive management, best practices treatment protocols and self-management skills training that empowers members to be educated consumers of healthcare and to actively participate in improving the quality of their lives.

Program Goals
The goals of CMO's Disease Management Programs are to:

Improve overall quality of life
Ensure patients receive care based on the latest medical practices and information
Improve patient and caregiver understanding of the condition
Reduce hospital admissions and the time spent in the hospital, when necessary
Reduce emergency room visits

Program Components
The key components of the programs are:

Patient identification, assessment and stratification
Establishment of "best practice" standards for physicians
Patient and family education and empowerment
Ongoing monitoring of patient health status
Analysis and measurement of outcomes
Continuous process improvement

Program Guiding Principles
The guiding principles of all of our Disease Management programs are:

Establishing and maintaining a holistic patient view that understands the prevalence of patients having multiple conditions
Supporting the primary care physician; we support and enhance the providers ability to manage care
Providing nurse case managers with all appropriate resources (computer access, relationships with care facilities, etc.)
Directly involving the clinical pharmacist
Using electronic scales and other telemonitoring techniques
Demonstrating efficacy and impact of condition management techniques on utilization and cost
Creating an environment for enrollees that provides ongoing assessment, monitoring, education and follow-up

CMO Advantages
CMO has many clear competitive advantages over other disease management providers, cookie-cutter programs and large corporate conglomerates.

Our investment in information technology provides us with the ability to perform in-depth claims analysis for better patient identification, create more detailed levels of patient stratification; and gain access to critical outcomes measurements which contribute to continuous program enhancement.

Our close relationship with Montefiore Medical Center, one of the country's leading medical centers, provides us with access to world leaders in healthcare, healthcare information technology, academic medicine and clinical research.

Our knowledge of the applications of remote patient monitoring solutions and inbound and outbound call center services adds a state-of-the-art connection between patients and care providers.

Our clinical guidelines and protocols are among the best in the industry. CMO regularly convenes multidisciplinary design and improvement teams of physicians, nurses, pharmacists, researchers and other clinicians with experience in a particular condition. These teams review, discuss and modify nationally recognize, disease-specific guidelines. They provide the medical and technical expertise to establish the evidence-based, best practice treatment protocols. Once established, CMO supplies the infrastructure for creating and disseminating this best practice information to participating physicians, conducts education seminars for clinicians and develops patient education materials.