The HealthQuest Diabetes Disease Management Program has been designed to improve member health and support the continuous education of members and the providers who care for them. The HealthPlus Diabetes Disease Management program is fully integrated to include: disease management, utilization management, case management, behavioral health, and health and lifestyle activities. The HealthPlus programs incorporate interventions necessary to optimize patient care and are based upon up-to-date, evidence-based, clinical practice guidelines that were developed and reviewed by physicians.
The objectives of the Diabetes Disease Management Program are to:
- Slow disease progression
- Reduce risk of member acute exacerbations and death
- Educate and empower members toward self-management of diabetes and co-morbidities
- Improve members’ quality of life through lifestyle management support, change in health behaviors by using motivational interviewing and goal setting
- Support members who have psychosocial issues and implement screening for depression when appropriate
- Educate and support health care practitioners through evidence-based medicine
- Encourage members to communicate with their health care practitioner about their chronic condition(s) and treatment regimen.
- Encourage and educate members about resources external to HealthPlus as appropriate
Diabetes Disease Management Program information and decision support activities include:
- Condition monitoring (self-monitoring and medical testing)
- Foster member adherence to treatment plan and member education, which includes standards of care, medication adherence, and sick day plans
- Management of co-morbid conditions
- Lifestyle issues (e.g., goal setting techniques, problem-solving, etc.)
- Community resource support
The HealthPlus Diabetes Disease Management Program is available to eligible members in Commercial HMO/POS, PPO (Fully-Insured and Self-Funded), and Medicare product lines.
Collaboration and Resources:
The Diabetes Disease Management Program has been structured to support the collaboration between HealthPlus and the Michigan Quality Improvement Consortium (MQIC). The MQIC guidelines are based upon several sources, including the 2012 American Diabetes Association Clinical Practice Recommendations (Diabetes Care, Volume 35, Supplement 1, January 2012, www.diabetes.org). http://care.diabetesjournals.org/content/35/Supplement_1.
Practice Management Resources:
- For a copy of the ADA Clinical Practice Recommendations, please go to www.diabetes.org .
For more information about the HealthPlus Disease Management Program, contact a HealthPlus Disease Management Coordinator at (800) 345-9956, ext. 8050, or by e-mail at email@example.com.