Disease Management

The core value of disease management is providing the best possible total patient care to improve the quality of life for our patients and their families. This will be accomplished by providing innovative, evidence based disease management programs to assure that IU Health’s patients experience personal, effective and efficient care wherever and whenever needed. Our patients will trust IU Health to be their healthcare provider as we ensure that every patient receives a preeminent standard of care, safety, service & value.

Referral Process

Referrals can be made by phone (317.944.3500, 866.888.3468), FAX 317.962.2474, or electronic through the patient’s EMR (available in Cerner and TouchWorks). One of the disease management schedulers will contact and schedule the patient for a comprehensive health assessment in the one of our many locations. Introduction letter and packet will be mailed. Referrals may include:

  • Hyperlipidemia
  • Hypertension
  • Migraine
  • Gerd
  • Osteoporsis
  • Anti-Coagulation
  • Asthma
  • COPD
  • Smoking Cessation
  • Pre-Diabetes
  • Diabetes
  • Gestational diabetes
  • Nutrition
  • Heart Failure
  • Polypharmacy evaluation

The objectives of disease management educators are:

A. Teach practical skills and facilitate learning to enhance self-management so individuals can achieve optimal health and quality of life.
B. Provide innovative technology training for intensive self-management.
C. To use systems and technology to improve care delivery.
D. Measure and report clinical and behavioral outcomes and patient and provider satisfaction.
E. Work collaboratively with specialty and primary care physicians.

Benefits of disease management services:

A. Improved patient adherence through increased patient education and follow up.
B. Reduced likelihood of avoidable outcomes through enhanced monitoring, reduction of drug.
interactions and individualized patient education.
C. Decreased number and duration of hospitalization and emergency room visits, decreasing costs of care.
D. Increased quality of patient care, measuring clinical performance.
E. Increased patient access.
F. System wide consistency.

MODIFY DATE: 10/08/2012 11:08:17 AM PMMODIFIED BY: jnaffzig@iuhealth.org