JLN Process - Enroll into chronic disease management programs

Process Group

Care Mangement

Objective

Enroll target beneficiary into specific chronic disease management programs to promote early screening, diagnosis and treatment to ensure appropriate cost-effective medical services are identified, planned, and obtained

Input

• List of beneficiaries in need of care management programs

• Geography

• Diagnosis

• Treatment plan

Output

• List of beneficiaries enrolled in chronic disease management programs

• Beneficiary treatment needs assessment

• Treatment plan

• Provider list

Task Set

• Provide list of qualified and approved providers to beneficiary

• Home visit to beneficiary

Measurable Outcomes

• Beneficiary enrolled in care program

• Treatment plan established for beneficiary enrolled in care program

Sources

• Joint Learning Network, 2012

• File: NHIIS_Phase_1_Public_Report_JLN_IT_Workshop_FINAL_Jan182012_A4.pdf