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When Trumbull, CT-based Oxford Health Plans set out to improve care for its sickest members with diabetes and congestive heart failure, it collaborated with primary care physicians and specialists to come up with a plan of care.
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Identifying the gaps in care and accountability and closing those gaps is the key to a successful disease management program, says Alan Muney, MD, MHA, executive vice president and chief medical officer for Oxford Health Plans in Trumbull, CT.
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By concentrating its disease management efforts on members who are likely to benefit most, an Indianapolis-based HMO hopes to keep its members healthier and reduce costs to employer groups at the same time.
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New clinical practice guidelines for the prevention, detection, and treatment of high blood pressure have been released by the National Heart, Lung, and Blood Institute (NHLBI) in Bethesda, MD.
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The Joint Commission on Accreditation of Healthcare Organizations has changed how it scores organizations on its National Patient Safety Goal to eliminate wrong-site, wrong-patient, wrong-procedure surgery.
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Often in health plans, disease management is in one silo, case management is in another, pharmacy management is in another, and they may not interrelate.
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At Oxford Health Plans based in Trumbull, CT, 3% of its members account for half of the plans medical costs.
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The occurrence of medical errors made by health care providers against patients has been at the forefront of the media in recent years.
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The Agency for Healthcare Research and Quality (AHRQ) has developed a new web-based tool that can help hospitals enhance their patient safety performance by quickly detecting potential medical errors in patients who have undergone medical or surgical care.
