BR0099_0823
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Chronic Conditions Programs provide support across
a spectrum of chronic conditions, including:
Congestive Heart Failure (CHF)
y
Monitoring the presence and progression of patient-
reported symptoms to detect clinical deterioration
y
Chats collect information on general health, unstable
angina and arrhythmia, and blood pressure
y
Monitoring mental health conditions to quickly
identify concerns
y
Flagging barriers to medication access and adherence
y
Provide support for follow-up care appointments
Diabetes (Type 2)
y
Focused on blood sugar management
y
Provides patients with blood sugar level checks
and feedback for non-insulin dependent diabetics
y
Supports medication adherence to keep patients
on-track with their care plan
y
Provides contextual education on diabetes-related
topics
Asthma
y
Conducts initial assessment using either the
Asthma Control Test (ACT) or the Global Initiate for
Asthma (GINA)
y
Periodically assesses asthma control
y
Reminds patients to follow their asthma care
action plan
y
Tracks medication adherence and tracks side effects
of asthma medication
Chronic Obstructive Pulmonary Disease (COPD)
y
Detects clinical deterioration
y
Monitoring the presence and progression of patient
reported general-health status and symptoms like
fatigue
y
Anxiety
y
Depression
y
Indications of COPD exacerbation
Hypertension
y
Provides ongoing support for patients maintaining
their blood pressure at home
y
A configurable frequency of blood pressure checks
to accommodate each clinician's practice and
sophistication of analytics desired
y
Additional educational materials help to reinforce
patient self-care and healthy behaviors for blood
pressure management
1 Rand Corp, 2017. (source)
2 National Health Expenditure Data: Historical, 2022. (source)
3 CDC, 2022. (source)
4 CDC, 2023. (source)
5 Yale School of Public Health, 2023. (source)
