The New Hampshire Public Health Association (NHPHA) recognizes that disease management systems, when properly developed, have the potential to improve treatment outcomes and promote cost effective delivery of care. The NHPHA supports the evolving development of disease management programs that emphasize:

• Evidence-based medicine;
• A multidisciplinary approach involving all appropriate health professionals;
• Coordinated systems approach with defined implementation strategy;
• Patient education and involvement in self-care;
• Objective, data-driven measurement devices; 
• Continued outcome evaluation and improvement; and 
• Mobilization of community resources to meet treatment and risk reduction needs of patients and families

Resources:

Bodenheimer, Thomas, Edward H. Wagner and Kevin Grumbach.  “Improving Primary Care for Patients with Chronic Illness,” Journal of the American Medical Association 288:14 (October 9, 2002) 1775-1779.

Denberg, Thomas D. et al.  “Improving Patient Care through Health-promotion Outreach,” Journal of Ambulatory Care Management 31:1 (January-March, 2008) 76-87.   

Krumholz, Harlan M. et al. “A Taxonomy for Disease Management; A Scientific Statement from the American Heart Association Disease Management Taxonomy Writing Group,” Circulation 114:13 (September 26, 2006) 1432-1445.

Mattke, Soeren, Michael Seid, and Sai Ma.  “Evidence for the Effect of Disease Management:  Is $1 Billion a Year a Good Investment?,” American Journal of Managed Care 13:12 (December 2007) 670-676.

Mattke, Soeren, et al.  Measuring and Reporting the Performance of Disease Management Programs.   Santa Monica, CA:  Rand Corporation August 2006.

US Department of Health and Human Services, Agency for Healthcare Research and Quality.  The Guide to Clinical Preventive Services, 2007.  Washington, D C:  Agency for Healthcare Research and Quality, 2007.  http://www.ahrq.gov/cl.../pocketgd07.pdf

US Department of Health and Human Services, Centers for Disease Control and Prevention.  “Strategies for Reducing Morbidity and Mortality from Diabetes Through Health-Care System Interventions and Diabetes Self-Management Education in Community Settings; A Report on Recommendations of the Task Force on Community Preventive Services,” Morbidity and Mortality Weekly Report Recommendations and Reports 50: RR-16 (September 28, 2001).  http://www.cdc.gov/mmw...f/rr/rr5016.pdf