The Health Plan’s Disease Management and Health Promotion Programs are developed to proactively identify populations with, or at risk for, chronic medical conditions. We currently manage members with diabetes, chronic heart failure, and chronic obstructive pulmonary disease. The Health Plan’s pregnant members are also monitored with the intent to identify those at high risk for premature delivery.
“Disease management is a system of coordinated health interventions and communications for populations with conditions in which patient self-care efforts are significant.” -- Disease Management Association of America
Our disease management programs support the practitioner-patient relationship and plan of care, emphasize the prevention of exacerbations and complications using evidence based practice guidelines and patient empowerment strategies. The Health Plan programs continuously evaluate clinical, humanistic, and economic outcomes with the goal of improving overall health status.
Listed below are additional links that may be helpful to members searching for more information on diabetes, heart failure, COPD and pregnancy.
Health Plan members who have been diagnosed with diabetes, heart failure, or chronic obstructive pulmonary disease (COPD) can enroll in the appropriate disease management program by accessing the Enrollment Form. A Health Plan nurse will call you.
Pregnant Health Plan members with concerns or questions about their pregnancy can enroll in the Pregnancy Program by accessing the Pregnancy Enrollment Form. A Health Plan nurse will call you.
If you have questions or would like more information in addition to the material provided on this website, please feel free to call Customer Service at 740.695.7902 or 1.888.847.7902 in St. Clairsville and 330.837.6880 or 1.800.426.9013 in Massillon.
HELP Program
This bold, comprehensive, on-line education program for our members incorporates
disease management modules to include ADHD, bipolar disorder, depression,
diabetes, weight management, men's and women's health, resource center
and more! Get started now! (System requirements include Internet Explorer
or Netscape and Macromedia Flash Player 6.0 or greater. Users will
be prompted to download the plug-in if they do not have Flash Player
6.0 or greater.)
Chronic Obstructive Pulmonary Disease Program
COMING SOON! This program is designed
to modify risk factors associated with COPD as well as slow the progression
of the
disease
by
promoting treatment plan compliance through education, counseling, and
support. Members with COPD require long-term, continual health care to
maintain functional status and to help eliminate disease exacerbations.
Congestive Heart Failure Program
This program is designed to modify cardiovascular risk factors
and slow
disease progression by promoting treatment plan
compliance through
education, counseling and support.
- Contract to Take Care of Myself (15k) - contract promising to help take better care of yourself
- Daily Weight Diary (12k) - printable form for you to download and keep track of you daily weight
- www.americanheart.org - website devoted to learning more about the American Heart Association's efforts to reduce death caused by cardiovascular disease.
Diabetes Program
This program is designed to modify risk
factors associated with diabetes as well as slow
the progression of microvascular and macrovascular complications by
promoting treatment plan compliance through education, counseling, and support.
Members
with diabetes require long-term, continual health care to maintain appropriate
glycemic control
and to decrease the risk of long term complications such as neuropathy, nephropathy
and
blindness.
- Managing Your Diabetes (3.63M) - basic facts about diabetes
- Diabetes Checklist (454k) - use this checklist to take an active role in the treatment of your diabetes
- Checkbook for Diabetes Health (202k) - checkbook to help you manage your diabetes
- www.goinsulin.com - website providing insulin, diabetes treatment and blood sugar control information. Learn to overcome insulin fears and doubts and how insulin may help you control blood glucose. Access diabetes and insulin resources, read insulin success stories, and more.
Prenatal Care Program
This program is designed to improve pregnancy
outcomes, reduce neonatal
hospitalizations, and reduce all costs associated with pre-term birth and
other complications of
pregnancy by providing prenatal education, promoting
safe health
behaviors, and enhancing the management of maternity care for women identified
at high risk
for premature labor and delivery.
