Chronic Care Management

Chronic Care Management

Chronic Care Management (CCM) offers comprehensive support for individuals living with two and more chronic conditions.

These conditions aren’t easily cured and require in-depth care.

This can be complicated if you have multiple chronic conditions to manage.

CCM aims to provide continuous care coordination, education, and interventions to manage and improve the quality of life for those with ongoing health challenges.

Key Features:

Personal Care Coordinator:

Dedicated care coordinators to assist patients in navigating their health metrics, ensuring adherence and understanding.

Regular Health Assessments:

Scheduled assessments to monitor progress, manage medications, and address any emerging health issues.

Education and Resources:

Access to educational materials and resources to empower patients in self-management and lifestyle changes.

Suitable For:

Diabetic Kidney Disease

Provides close monitoring and interventions, reducing the risk of further kidney damage and managing complications effectively.

Rheumatoid Arthritis

Offers continuous support, aiding in tracking symptoms and disease progression, leading to better pain management reducing flares and improved joint function.

Multiple Sclerosis (MS)

Enables continuous monitoring and support, facilitating timely interventions and improving symptom management for MS patients.

Chronic Heart Conditions

Individuals managing heart conditions require ongoing support and monitoring to reduce the risk of exacerbations. CCM ensures regular check-ins, adherence to treatment plans, and timely interventions preventing hospital readmissions.

Respiratory Disorders

Patients with chronic lung diseases like COPD, asthma or pulmonary fibrosis need continuous support. CCM offers continuous monitoring, education, and symptom management, improving lung function, preventing exacerbations and enhancing quality of life.

Chronic Kidney Disease (CKD)

Individuals with CKD need frequent monitoring and care coordination. CCM assists in managing medications, dietary changes, and lifestyle modifications to slow disease progression.


Holistic Approach

Addressing not only the medical aspects but also the social and psychological aspects of living with chronic conditions.

Improved Quality of Life

By ensuring better management and understanding of chronic conditions, this program enhances patients’ overall well-being.

Discover why DHI is the preferred choice for individuals seeking comprehensive and personalized healthcare outcomes
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