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Disease Management

Kelsey-Seybold Clinic’s care delivery model focuses on improving the health status of patients enrolled in our KelseyCare plan. It is unique in its ability to integrate patient care, medical management and value-added services, which can positively impact health outcomes, practice efficiency and patient satisfaction.
 
KelseyCare offers disease management programs for high-risk obstetrics, renal care, diabetes management, congestive heart failure, asthma, chronic obstructive pulmonary disease (COPD) and cholesterol management.
 
Our Clinically Integrated Disease Management Programs Include:
  • Hyperlipidemia Management
  • Congestive Heart Failure (CHF)
  • Diabetes Management
  • Asthma Management
  • End-Stage Renal Disease (ESRD)
  • High-Risk Pregnancy Management

Clinical Programs Include:
  • Primary Prevention Lipid Clinic
  • Secondary Prevention Lipid Clinic*
  • Epilepsy Management
  • Cancer Management – The Kelsey-Seybold Cancer Center
  • Osteoporosis Management
  • Spine Center Programs
 
Our team of case manager nurses collaborates with Kelsey-Seybold doctors and nurses to incorporate education, prevention, patient care and research into our programs with the purpose of making a significant difference in the health of employee populations.
 
KelseyCare partners with companies by analyzing demographic and claims data to manage health risks and intervene on unhealthy behaviors. Our program leads to the development of health and wellness interventions, participation in appropriate disease management programs, and targeting of emerging "danger zones" with sound, medically based strategies and innovations.
 
Our health database helps us identify and contact KelseyCare patients who are overdue for standard preventive testing, emphasizing prevention and early detection, so we can proactively care for our health plan members.
 

Recognized for Excellence
KelseyCare’s integrated, physician-driven disease and case management programs are recognized for clinical excellence.

We improve the delivery of healthcare through highly-effective clinical processes that are proven to deliver results in quality and cost savings. These clinical processes include a coordinated, accountable delivery system based on the nation’s first NCQA-Accredited Accountable Care Organization – along with integrated disease management, case management and onsite hospitalist physicians who meet our patients at the hospital bedside.

Fact Sheets
Learn more about KelseyCare's accountable, coordinated disease management programs.

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