What Makes Us Different
The Interim HealthCare Living With Heart Failure Program is
different than many disease management programs. Most, though
certainly not all, disease management programs rely heavily
on printed or web-based educational materials and telephonic
interventions from nurses in large call centers. These programs
have been around for 10-15 years now, and have made an impact.
However, their impact is limited by several factors:
- It's not just about education. Most Heart Failure patients
have read the brochures and listened to the tapes and CDs.
Many are compliant, but some aren't and it's not always
because they don't understand.
- Sometimes it's about the home. There are environmental
factors unknown to a call center nurse that affect program
success. A review of the refrigerator is much more telling
than an interview regarding yesterday's meals.
- Sometimes it's about face to face interventions for teaching,
monitoring and motivation.
- Sometimes it's about administering care. A home health
agency can administer services that are part of a successful
program: changing medications, doing injections, etc.
- Sometime there's more than just heart failure. Patients
are likely to have co-morbidities, many of which also are
chronic diseases. Some newer disease management programs
take a broader perspective, but many are disease-specific.
They can miss the opportunity to improve the ability of
patients to live safely at home with their chronic diseases.