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Chronic Disease Management

Care for patients with chronic diseases requires ongoing monitoring and management, frequently involving a team. An informed, motivated patient and family are essential to management of chronic diseases. Add a team of prepared, pro-active providers, nurses, pharmacists, therapists, medical assistants, educators, and specialists and increase the chances for successful management.

Chronic Care Model
Listen to Ed Wagner, MD, MPH, director of Improving Chronic Illness Care, as he presents the Chronic Care Model here. (~45 Minutes)

Key Information

Assessing Readiness for Chronic Disease Management

       Tools