What Is Comprehensive Disease Management?

The CDM program is designed to assist people in optimizing the utilization of all available home health services and community resources. A CDM nurse can help establish goals of treatment and advance care planning with the patient and their family, as well as facilitate the completion of DPOA/Advance Directive paperwork. The most important goal of the CDM program is to improve the quality of life for all CDM patients and their families, which will increase the opportunity for each person to create more moments and be present in them.

Patients who live with chronic or life-limiting conditions often require a high level of health care services. From frequent doctor visits, medication management, emergency care, and managing day-to-day care, family caregivers can find themselves feeling overwhelmed as they are also juggling their own full-time jobs and household responsibilities.

With CDM, Phoenix Home Care & Hospice professionals will evaluate your chronically ill loved one’s condition and implement a comprehensive care plan. Your loved one’s chronic disease management program will not only improve their physical health and comfort – it will give you, the caretaker, peace of mind as our professionals help you navigate the complex world of healthcare.

Individualized Care

When you choose to implement CDM services, Phoenix Home Care & Hospice professionals will begin by setting goals based on your loved one’s needs. We want to be your healthcare experts, using our experience to help you navigate the complex world of long-term care. A comprehensive disease management plan can also help you increase your loved one’s comfort while decreasing emergency visits, hospitalizations, falls, and other issues that often accompany a chronic illness.


One of the major goals of comprehensive disease management is educating caregivers on a variety of health care resources. Although a number of resources exist, finding and utilizing them can be daunting for caregivers. At Phoenix Home Care & Hospice, we’re committed to helping patients and their families connect to and qualify for community resources, including Medicare and Medicaid services. This way, patients and their loved ones can evaluate their options and make informed decisions when it comes to accessing the right resources for their needs.

Advance Care Planning

When you’re caring for a loved one with a chronic illness, planning ahead is important. Thorough advance care planning is essential to ensure your loved one is well cared for throughout their journey when living with a life-limiting illness. Completing Power of Attorney paperwork and end-of-life advance directives provides peace for the entire family. Phoenix Home Care & Hospice is available to provide assistance with a variety of advance care planning strategies, including completion of Durable Power of Attorney papers and disease-specific advance directives.

Why Disease Management Programs?

Comprehensive Disease management programs are designed to improve quality of life for people with chronic conditions, while also reducing health care costs. The aim is to help patients take better care of themselves, and make sure they get the right treatment at the right time.

These programs typically include a medical plan that is designed carefully by you and your physician to set goals and manage your disease. The Phoenix program may also include a nurse case manager who coordinates outreach services, such as home or community visits by nurses, meal delivery services, and more.

Chronic disease management programs are often broken down into three main parts: monitoring, intervention, and evaluation.

In general, these programs are designed to help patients manage their health. By providing a framework for self-management, patients can make informed choices with the support of their caregivers.

So if you or a loved one has a chronic disease, Phoenix Home Care & Hospice can help you create a comprehensive disease management program that will ease the burden of managing daily life with your condition. We also can help you find ways to improve your quality of life and partner with your physician to manage every aspect of your disease.

Benefits of Comprehensive Disease Management Programs

Comprehensive disease management programs are designed to help people with chronic conditions stay on track with their treatment plans so they can get the best possible health outcomes from their care. Some of the benefits of these programs include:

Lower out-of-pocket costs – A disease management program can help you identify ways to reduce the cost of your treatment and overall health care costs. That’s because they can help you make smarter decisions about your condition and avoid falls, emergency room visits, and hospital admissions.

Improved quality of life – Chronic disease management programs provide tools that empower patients and their caregivers to take control over their health care needs. These tools can improve the quality of life for people who have been diagnosed with one or more chronic conditions that require skilled nursing care and other services.

Reduced risk of complications – The goal of disease management programs is to prevent complications from occurring by helping patients manage their conditions or diseases more effectively. Medication management, occupational therapy, and other services are designed to help patients stay as healthy as possible, despite their chronic conditions.

Reduced hospitalizations – When you have a disease management program in place, your health care team can work with you to reduce hospitalizations. This is because the program allows for more frequent visits and more personalized care. The program also helps to educate everyone involved about the disease, including you and your family, so that everyone can be on the same page about how to treat it and what symptoms need attention.

Respite for family caregivers – Professional at-home nursing care and other services allow family caregivers to step back and dedicate time to their other responsibilities or to simply rest. The time they’d normally spend navigating their loved one’s medical needs can be rededicated, as the professionals implement a proven care plan.

Contact Us for Comprehensive Disease Management

Contact Phoenix Home Care & Hospice, and we’ll help you and your loved one navigate comprehensive disease management when someone requires long-term care. Our experts can provide clinical and non-clinical care.

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