Finding, Controlling and Managing the Problem…

Chronic disease management is another part of the value-based medicine program under CHOP (Community Healthcare Outreach Program) and may be associated with either commercial or federal-based programs. It centers on chronic diseases and conditions like diabetes, hypertension, COPD, heart disease, cancer, asthma, arthritis and obesity. These are conditions that last for a long time, often the remainder of a lifetime in adults, and may be recurring in scope and severity. Management of these diseases requires regular intervention and CHOP brings the primary care to you that may not only keep these diseases under control but even result in a cure.

—“They need to be managed, and they need to be managed monthly,” Dr. Alexander G. Salerno, Chief of Staff of Salerno Medical Associates,  “This way nothing really gets out of hand.” —

Turning Subjective into Objective

Value-based medicine requires healthcare interventions with patients with chronic diseases. It includes a goal of understanding and measuring improvement in length of life and quality of life through subjective views from many patients. This information is translated into measurements that “become objective and reproducible data available for careful analysis,” according to the Center for Value-Based Medicine®. In that way patients themselves, as a group with the same or similar ailments and afflictions, contribute to chronic disease management for others.

Healthcare is based on science and science is based on metrics and formulas, and that’s how you evaluate, assess and stage chronic diseases. Much of what they do in chronic disease management is finding the problem, controlling the problem and managing the problem.

Some can be cured even though regarded as chronic. Diabetes is an example through nutrition and weight loss. Cancer is another that can be cured, though it is usually regarded as remission. You may always be a diabetic but you may not require the traditional medications if managed effectively.  For the most part it is a matter of controlling and managing and not necessarily curing.

Regular Intervention Is Important

Again, the key is regular intervention and we bring primary healthcare to the patients, instead of them coming to us. It may be in a behavioral center, group facility or home environment. The original program that evolved into CHOP was a housing complex for seniors in 2002. The CHOP model brings a level of service, expertise, procedures, and collaboration through a well-coordinated intra-disciplinary medical team approach.

You’re going to expend a lot of resources if you are just waiting until these obese, two-pack-a-day smokers to come to you when they may have diabetes, hypertension and COPD and don’t even know it.  They may be homeless multiple times and more concerned about a roof over their heads or the next meal than symptoms that affect their mortality.

If the primary care is available in the community, it is a tragedy that so many of our urban neighbors are living as if residents of some undeveloped Third World developing country.

— Call 973-676-0955 to learn more about CHOP and our community outreach to those with chronic diseases to receive regular intervention and treatment—