Process Group

Care Management

Objective

Identify target beneficiaries for chronic disease management programs

Input

• Diagnosis

• Eligibility

• Demographics

• Geography (address for beneficiary)

• Treatment plan

• Pharmaceutical treatments

• Provider

• Rules

Output

• List of beneficiaries with chronic disease management needs

• Care management case identifier

Measurable Outcomes

• List of beneficiaries in need of care management

Sources

• Joint Learning Network, 2012

• File: NHIIS_Phase_1_Public_Report_JLN_IT_Workshop_FINAL_Jan182012_A4.pdf