scholarly journals WESTCOP: a disease management approach to coronary artery disease

2000 ◽  
Vol 23 (2) ◽  
pp. 96 ◽  
Author(s):  
Ian Scott ◽  
Catherine Harper ◽  
Aleesa Clough
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Disease Management ◽  
Systematic Approach ◽  
Management Program ◽  
Management Approach ◽  
Main Program ◽  
Collaborative Teams ◽  
Artery Disease ◽  
Disease Management Approach

Disease management is a systematic approach to improving care of populations of patients with specificclinical conditions. Critical to success are the formation of collaborative teams of health carestakeholders, development and promulgation of clinical practice guidelines, and performancemeasurement and feedback to providers as a process of continuous practice improvement.This article describes a disease management program for patients with coronary artery disease in aprovincial health district with a population of 180,000. It discusses the rationale and methods behindthe operationalisation of the main program elements, benefits achieved to date and challengesconfronted.

scholarly journals Evaluation of a postdischarge coronary artery disease management program

2015 ◽  
Vol 27 (7) ◽  
pp. 371-378 ◽  
Author(s):  
Susan D. Housholder-Hughes ◽  
Michael J. Ranella ◽  
Abiola Dele-Michael ◽  
Melvyn Rubenfire
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Disease Management ◽  
Disease Management Program ◽  
Management Program ◽  
Artery Disease

scholarly journals Association of Medical Liability Reform With Clinician Approach to Coronary Artery Disease Management

2018 ◽  
Vol 3 (7) ◽  
pp. 609 ◽  
Author(s):  
Steven A. Farmer ◽  
Ali Moghtaderi ◽  
Samantha Schilsky ◽  
David Magid ◽  
William Sage ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Disease Management ◽  
Medical Liability ◽  
Artery Disease

scholarly journals Effectiveness of a Tailored Lifestyle Management Program for Middle-Aged Women With Coronary Artery Disease

2019 ◽  
Vol 27 (1) ◽  
pp. e5
Author(s):  
Ching-Ching TSAI ◽  
Ai-Hsien LI ◽  
Chung-Ming TU ◽  
Kai-Lin HWANG ◽  
Chii JENG
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Management Program ◽  
Middle Aged ◽  
Lifestyle Management ◽  
Artery Disease

Abstract P213: Outcomes of a Postdischarge Coronary Artery Disease Management Program

2011 ◽  
Vol 4 (suppl_2) ◽  
Author(s):  
Abiola Dele-Michael ◽  
Brandon Henckel ◽  
Sangeetha M Krishnan ◽  
Susan Housholder-Hughes ◽  
Eva Kline-Rogers ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Disease Management ◽  
Cardiovascular Events ◽  
Conventional Care ◽  
Cost Of Care ◽  
Major Adverse Cardiovascular Events ◽  
Care Group ◽  
Ed Visits ◽  
Artery Disease

Background: The coronary artery disease management (DM) program was designed to improve patient care with the same or lower costs in patients discharged from a university hospital. We tested whether the DM program reduced emergency department (ED) visits, re-hospitalizations, and adverse cardiovascular outcomes. Methods: In this prospective study, we analyzed 141 subjects from the Global Registry of Acute Coronary Events (GRACE). There were 47 subjects that participated in the DM program and 94 subjects participated in GRACE alone with conventional care (CC). DM program subjects received a comprehensive risk assessment, education regarding medication, recognition of significant symptoms, emergency response, review of basic nutrition and exercise and psychosocial support. The primary end point was ED visits at 6 months. Secondary end points were re-hospitalization and incidence of major adverse cardiovascular events (MACE). Disease management subjects were matched 1:2 to controls based on age, gender and GRACE 6 month mortality risk score. Results: At 6 months, a significantly lower number of ED visits were associated with patients in the DM group compared to CC (17 vs 59 visits, p=0.04). There were a total of 6 adverse cardiovascular events (myocardial infarction, n = 4 and death, n = 2), all of which occurred in the conventional care group. There were no significant differences in hospitalization rates resulting from ED visits among the CC and DM groups [76% (45/59) vs 71% (12/17), p=0.75]. Conclusion: The DM program resulted in a significantly reduced number of ED visits, which would translate into lower cost of care. However, the program did not demonstrate a significant effect on the rate of re-hospitalization and MACE.

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