Disease Management is recognized as a multidisciplinary approach to treating people living with chronic disease through the use of coordinated interventions, integrated care and evidence based guidelines. Examples of chronic diseases diagnoses or conditions that can improve through Disease Management are: diabetes, asthma, heart failure, COPD, renal disease and depression. Through implementation of Disease Management principles and education, outcomes such as reduction in medical costs or services, improved quality of life, and patient empowerment and self management can be achieved.
- Care Coordination
- Health Screening
- Medication Management
- Case Management
- Prevention and Wellness Services
- Home Visits
Hours of Operation
Monday - Friday, 8:30am - 5pm
- Individualized Treatment Planning
- Assist in scheduling and keeping medical care appointments
- Healthcare Home
- Limited van transportation
ReDiscover Programs Focused on Disease Management
Two ReDiscover programs, DM3700 and Health Care Home, were both established by the state and implemented in Missouri’s Community Mental Health Centers to aid clients who live with mental illness and chronic disease in improving their quality of life.
Healthcare Home is an innovative care coordination model customized to meet the needs of low-income clients with chronic conditions such as obesity, metabolic syndrome, hypertension and diabetes . The goal is to improve the health of those being served and promote a healthy lifestyle. Physicians and nurses provide health screenings, monitor health conditions and connect clients to physical health resources and preventive services.