Cardiac Disease Management Program

Our Cardiac Disease Management Program is a comprehensive program for all cardiac patients! We provide the tools, information and education necessary to maintain a healthy and independent lifestyle.

SYMPTOMS

• Heart arrhythmias
• Chest pain
• Increase in body weight
• Increased swelling in legs
• Shortness of breath
• Trouble breathing when lying flat on back

MEDICATION RECONCILIATION BETWEEN FACILITY, DOCTOR AND HOME

• PT/INR and pulse oximetry
• Extensive patient/family education
• Education about living well with heart disease
• Specific teaching guides for comprehensive care
• Coordination with facilities, physicians, the patient and their family
• Post discharge Transitional Care Coordinators maintain contact with patient to assure continued compliance and stabilization
• Provides clinical outcomes
• Healthy lifestyle changes
• Early detection
• Education on diet, disease and medication to improve self management
• Medication compliance evaluation conducted every visit
• Log daily body weight and exercise regimen
• Techniques to conserve Energy in order to enhance independence
• Patient benefits/services

DOCTOR BENEFITS

• Measurable outcomes throughout the episode and three months post discharge with a reduction in hospital/ER visits
• Comprehensive case management including a single point of contact
• Physician protocol compliance
• Single point of contact for coordination of service and reporting
• Two to four hours of staff education initially; two hours annually; competence validation is included
• Outcome-based treatment plan
• Thorough physical assessment