Disease Management
At HealthCare Partners Nevada (HCPNV) we offer Disease Management programs for members with Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), and Diabetes. Improved self-management can improve the daily quality of life for members with a specific disease or condition. This is a free service offered to our members.
The Disease Management Program focuses on monitoring and improving adherence to treatment plans by emphasizing patient education, and actively monitoring those members most at risk for signs and symptoms of decline.
Please click on the links below to view our Disease Management Programs:
Congestive Heart Failure (CHF) | Chronic Obstructive Pulmonary Disease (COPD) | Diabetes
Please click on the links below to view our Disease Management Education Materials:
Congestive Heart Failure
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Chronic Obstructive Pulmonary Disease
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Diabetes
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Frequently Asked Questions
What members are enrolled?
Members identified as potentially having CHF, COPD, and Diabetes through claims data, high risk assessments, and referrals from utilization management, case management, a PCP or even a specialist. They are contacted by phone for confirmation and screening by a qualified health professional. Members may also self-refer by contacting their provider, or designee, directly. Participation in the Program by members is voluntary and there is no additional cost to members.
What resources are available for the enrolled members?
Enrolled members are offered communication with a Registered Nurse or other health professional(s) to assist them with their conditions and how to appropriately manage their symptoms more effectively. They are given a better awareness and understanding of their condition by addressing lifestyle changes, current medication information, and even provide support to help prevent complications, exacerbation or the development of other health problems not associated with their chronic condition. All members receive educational materials about their disease.
What's in it for the provider?
- You gain information about the Disease Management Program
- You will understand how the Disease Management service system works
- You will gain consistent practice in identifying needs
- There will be improved coordination between medical practitioners
- Consistent quality in screening, assessment, care planning and referral
- Increased sharing and individual member feedback when referrals to the disease management programs are made
What is achieved?
The patient and family benefits by:
- Early intervention
- Improved patient outcomes
- Safer patient care delivery
- Decreased hospitalizations
- Improved quality of life
- Appropriate utilization of services
What outcomes does HCPNV want to achieve annually?
- To identify our members who would benefit from a disease management program.
- To improve the services provided to our members and improve the overall care and quality of life of our membership.
Where can I get more information?
For more information or to refer a member to the HCPNV Disease Management Programs, contact the Case Management department at 702.318.2400.
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