Focus on Chronic
Disease
Recently,
Touchette Regional Hospital (TRH) developed the Complete
Care Program to focus on the care and education of
chronic diseases that impact the TRH service area. For
information call 618-482-7151.
The Complete Care
Program began at TRH in October of 2009 as an outpatient
chronic care program. Diabetes care/education is the
initial focus of the chronic care program because of the
high incidence of diabetes in the TRH service area. The
focus of the program is to help patients successfully
manage diabetes and further prevent devastating
complications of this chronic disease. The chronic care
model establishes linkages between the physician
practice and the patient. The program provides for a
coordinated, multidisciplinary visit that can improve
patient compliance and reduce avoidable complications.
Diabetes
Education is coordinated through a Patient Navigator at
TRH. The Patient Navigator works with the patient,
family/support system as needed, and the physician’s
office to coordinate education and referral services. In
addition, the Patient Navigator provides the PCP with
feedback related to the patient’s progress.
Since the traditional
health care system is designed to provide a
symptom-driven response to acute illnesses, it is poorly
configured to meet the needs of those with chronic
diseases. The complete care model focuses on both
outcomes and prevention of chronic illnesses ranging
from diabetes, congestive heart failure, kidney disease,
and hypertension.
According to Centers of
Disease Control’s 2007 data, nearly 24 million people
in the U.S. have diabetes. Diabetes disproportionately
affects older adults and can cause serious health
complications, including heart disease, stroke,
blindness, and leg and foot amputations. People with
diabetes are more susceptible to other illnesses, and
once acquired, they often have poor outcomes and
prognosis.
Diabetes education is
key to controlling diabetes. It is a collaborative
process through which people with or at risk for
diabetes gain the knowledge and skills needed to modify
behavior and successfully self-manage the disease and
its related conditions. The program aims to achieve
optimal health status, better quality of life, and
reduce the need for costly healthcare.
|