Digital Disease Management to optimize care and improve patient outcomes

Category: >> Medication Management
Understanding Medication Adverse Effects and How Healthcare Data Management Can Provide Proactive Prevention

Understanding Medication Adverse Effects and How Healthcare Data Management Can Provide Proactive Prevention

March 10, 2020

Adverse Drug Reactions vs. Adverse Drug Events – Detect and Avoid for Patient Safety

We are experiencing a health craze. Everybody is becoming health conscious and there is an abundance of herbs, supplements, lotions, etc. that people are using in their quest to rid themselves of, and prevent, ailments.

In addition, there are numerous prescription medications (almost 6,800) and countless over-the-counter drugs available in the US market. The use of so many substances in health care opens the door to possible interactions between substances, resulting in medication adverse effects. In the clinical space, terms such as adverse drug events (ADEs) and adverse drug reactions (ADRs) are used to describe some of the possible medication adverse effects that can result from drug use. But does the average person understand the meaning of these terms?

An adverse drug event (ADE) is defined as “an injury resulting from medical intervention related to a drug.” An ADE results from harms caused directly by the drug itself and include medication errors, ADRs, overdoses, and allergic reactions. An ADR, on the other hand, is a harmful and unintended response to a drug at normal doses and during normal use.

The Office of Disease Prevention and Health Promotion, part of the US Department of Health and Human Services, has named ADE prevention as an important patient safety priority in its National Action Plan for Adverse Drug Event Reporting. It noted that ADEs accounted for an estimated one-third of hospital adverse events and approximately 280,000 hospital admissions annually. The ADE Action Plan was established to coordinate multiple stakeholders and align Federal efforts in identifying common, preventable, and measurable ADEs that may result in significant patient harm. The goal is to jointly work towards reducing patient harm from these specific identified ADEs nationally.

Three types of ADEs were selected as the high-priority targets of the ADE Action Plan as they were identified as being common, clinically significant, preventable, and measurable. These are:

  • Anticoagulants: primary ADE of concern – bleeding
  • Diabetes agents: primary ADE of concern – hypoglycemia
  • Opioids: primary ADE of concern – accidental overdoses/over-sedation/respiratory depression

The World Health Organization lists has reported that as many as 4 in 10 patients globally are harmed in primary and outpatient health care. Up to 80% of harm is preventable. The most detrimental errors are related to diagnosis, prescription and the use of medicines. As such, healthcare organizations are urged to utilize the ADE Action Plan and implement strategies to prevent medication adverse effects, especially from the three priority types of ADEs identified. Healthcare data management and healthcare technology can play a major role in this regard, and those organizations that proactively use healthcare technology to detect ADEs will be a step ahead in preventing them. Some ways in which healthcare data management and healthcare technology can be used in ADE detection and prevention include:

  • Electronic exchange of health information, such as laboratory results and care (e.g., discharge) summaries. This can help to improve communication among the care team as a patient passes from one team to the next.
  • Interoperability between laboratory and pharmacy systems to help prevent medication errors and medication adverse effects.
  • Utilize electronic health records (EHRs) and patient engagement tools to provide patient-specific data that can inform appropriate clinical decisions by providers. EHRs and patient engagement tools can also provide clinical reminders and templates to prompt and facilitate recommended clinical practices. This could result in improvements in assessment, documentation, and collaborative treatment planning for patient risk factors and aberrant behaviors.
  • Leverage EHR Meaningful Use requirements by incorporating Quality Measures specific to the three types of ADEs identified in the ADE Action Plan.

ADEs can also be prevented by improving patient compliance with their medication regimen. Incorporating remote monitoring solutions such as automated medication dispensers with reminders can improve patient compliance and also prevent potential overdoses especially in seniors with memory problems.

Patient safety is a priority for all healthcare organizations and medication adverse effects are a serious threat to this. By proactively incorporating healthcare technology to detect and avoid ADEs, organizations can increasingly prevent them and improve patient safety. Acuma Health can show you how to utilize technology for proactive prevention of medication adverse effects and improved patient safety.

PGHD Patient Generated Health Data Acuma Health

Patient Generated Health Data (PGHD) Management to Improve Patient Care

February 18, 2020

Optimal Healthcare Data Management Can Achieve Benefits for Patients, Clinicians, and Payers

Patient generated health data (PGHD) is everywhere. There are many healthcare technology apps and devices that assist in patient data collection. Patients are eagerly collecting, tracking, and storing health data such as activity levels, and some are sharing that data with their healthcare providers. Some healthcare providers are utilizing patient data collection to aid in their decision-making to improve patient care. PGHD has the potential to change the healthcare landscape and healthcare stakeholders can leverage PGHD to improve outcomes and reduce costs.

In order to optimally leverage patient generated health data to produce useful insights and improve patient care however, proper patient data collection management is critical as data collected but not properly managed can become useless. Healthcare data is sensitive, personal, and protected by regulations such as the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and, as such, healthcare data management can be an intricate process.

When looking to capture, store, and utilize PGHD, healthcare stakeholders need to consider factors such as data privacy and security, data accuracy, data governance, interoperability, and compliance with regulations. Because of this, the process requires careful thought and planning and development of proper PGHD frameworks to ensure optimal healthcare data management and utilization.

What is Healthcare Data Management and Why is it Important?

In a broad sense, healthcare data management is the process of storing, protecting, and analyzing data pulled from diverse sources. Healthcare stakeholders are swamped with patient data collection activities from myriad sources including electronic health records (EHR), electronic medical records (EMR), and of course, PGHD. All these data sources must be effectively managed if the power in the data is to be successfully harnessed and utilized.

“Managing the wealth of available healthcare data allows health systems to create holistic views of patients, personalize treatments, improve communication, and enhance health outcomes.”


Optimal healthcare data management,especially with the incorporation of patient generated health data, is important as it provides powerful insights into the patient life story beyond the walls of the medical establishment. This will enable the healthcare provider to better personalize the care offered to patients, improving patient outcomes and reducing costs associated with hospital admissions.

Healthcare data management through healthcare technology and data analytics is invaluable to population health management and precision medicine, driving research and improving health.

Leveraging healthcare technology for best-in-class healthcare data management is also critical if healthcare stakeholders are to remain compliant with regulations. In the era of value-based payments and meaningful use , healthcare data management must be a top priority for all healthcare stakeholders looking to remain relevant and functional in the healthcare space.

Benefits of Optimally Managing Patient Generated Health Data

There are many benefits to be gained from the optimal management of patient data collection and PGHD . There are benefits for a variety of healthcare stakeholders including patients, clinicians, payers, and researchers.

Advantages of Improved Patient Data Collection for Patients

Patients set to benefit from the optimal management of patient generated health data through ways such as:

  • More involvement in their personal healthcare as they take ownership of collecting and sharing PGHD with providers
  • Better engagement and communication with providers
  • Enhanced understanding of health conditions
  • Improved management of health conditions
  • Fewer hospitalizations and reduction in associated costs

Benefits of Optimized Healthcare Data Management for Clinicians

When PGHD is collected, shared with the provider and optimally managed through the use of healthcare technology, clinicians can realize many benefits. These include:

  • A more complete view of the patient’s quality of life over time and beyond the healthcare setting
  • Deeper insight into the patient’s adherence to treatment plans including medication adherence
  • Ability to note trends and intervene in a timely manner before acute episodes of illnesses
  • Better treatment outcomes and reduced hospitalizations
  • Increased patient engagement
  • Better patient retention

Benefits of Well-Managed Patient Data Collection and Management for Payers

Payers in the healthcare space can also benefit from optimal patient data collection and management.  Benefits to payers include:

  • Obtaining value for money by tying reimbursements to shared decision-making between providers and patients through incorporation of PGHD in care decisions
  • Offer incentives for the use of PGHD by providers

Patient Generated Health Data Management Benefits for Researchers

Patient generated health data when properly managed with healthcare technology, can provide a treasure trove of valuable information for researchers helping them to:

  • Conduct comparative effectiveness research to assess medical therapies to determine the best and most cost-effective therapeutic solutions for routine clinical use
  • Advance the field of personalized medicine
  • Develop predictive modelling and analytics
  • Make progress in the field of population health management
  • Monitor patients who are participating in clinical trials

Best Practices in Managing Healthcare Data with Healthcare Technology

Proper healthcare data management can be a daunting task. With the volumes of data that consistently flow into the healthcare system, added to the emerging field of PGHD, healthcare data management can overwhelm even the most seasoned healthcare professional if not done properly. However, the many benefits to be gained by different healthcare stakeholders from optimal healthcare data management, are enough to make the effort worthwhile.

Successfully managing healthcare data with healthcare technology to achieve the greatest benefits involves implementing measurement systems, as was executed in several healthcare case studies.  These measurement systems are designed on certain principles, such as: 

  • fitting the PGHD into the flow of care and using the data to make it easier for clinicians to do their jobs and for patients to engage in self-management and make informed decisions
  • ensuring the PGHD measurement system is co-designed with healthcare stakeholders engagement
  • engaging with patients and clinicians about how to use the PGHD
  • merging PGHD with data from other sources (clinician reports, medical records, claims) for optimal utility of the data
  • continuously improving the PGHD measurement system based on the experiences of users and new healthcare technology

Some healthcare stakeholders have begun optimizing patient generated health data, utilizing it to generate actionable insights and guide decision-making. A 2015 survey among healthcare executives found that 73% reported a positive return on investment (ROI) in healthcare technology  involving PGHD such as wearables that track fitness and vital signs.

“The use of such Digital Health apps in just five patient populations where they have proven reductions in acute care utilization (diabetes prevention, diabetes, asthma, cardiac rehabilitation and pulmonary rehabilitation) could save the U.S. healthcare system an estimated $7 billion per year.”


A congestive heart failure remote monitoring program initiated between Northern Arizona Healthcare and partners aimed to improve the management of patients with chronic diseases and/or high-risk conditions, by connecting patients with home-based medical devices and their care providers to ensure proper patient data collection and sharing of PGHD. An analysis of the program comparing data six months before and after implementation found an achievement of:

  • An average 44% reduction in readmission to the emergency room
  • An average 64% decrease in the number of days hospitalized
  • A reduction of $92,000 in per patient hospital charges

This program is a clear indication of the benefits to healthcare stakeholders that can be derived through successful healthcare data management.

The Dartmouth-Hitchcock Spine Center in Lebanon, NH, is a case study in the optimal use of PGHD to improve treatment outcomes. Patients complete a survey at home using a patient portal or in-office using a touchpad prior to their first visit at the center. The data are analyzed in real-time to create a summary report that is fed into the flow of care for use by the patient and the care provider. The provider also inserts some core clinical data elements into the clinical report and all information gets stored in a data warehouse for analysis and use in the care of the patient.

Overall results from a survey on the system found that over 80% of patients rated the system as“excellent to good” and one-third indicated that the system had led to positive changes in their visits. Approximately 50% of clinicians reported that the system saved time.

The Swedish Rheumatology Quality (SRQ) registry at the Karolinska University hospital, in Stockholm, Sweden, is another example where patient generated health data is incorporated into clinical care for optimal benefits.The SRQ registry is web-enabled and integrates real time, standardized data provided by patients, clinicians, and diagnostic tests. This data is used to improve the outcomes of care for individual patients, at the point of service as care is provided, and in the patient’s home to support self-management, as well as for quality improvement and research.

Efforts by patient care organizations to fit Digital Health tools into clinical practice has progressed, with 540 current clinical trials in the U.S. incorporating these tools and an estimated 20% of large health systems shifting from pilot Digital Health programs to more full-scale rollouts.

Researchers can benefit from well-executed healthcare data management. In one study of a framework for smartphone-enabled PGHD analysis, researchers at the Scripps Translational Science Institutelooked at blood pressure (BP) readings taken at variable times by persons in a study using a smartphone. They were able to detect an approximately 2 mmHg decrease in BP over a six-month trial, despite considerable intra- and inter-individual variation. This technique could prove useful for researchers in future study designs to analyze data as the field of digital medicine grows.

Of course, proper healthcare data management needs healthcare technology, and digital disease management solutions are available on the market to help with this. Ensure that selected solutions offer unified storage that is scalable and highly efficient to meet the requirements of multiple use cases.

Healthcare has become more patient-centric and policies such as value-based care will continue to push this movement forward. Patient generated health data has major potential for improving care, increasing patient engagement, lowering costs, and reducing wastes. However, there are many intricacies to properly leveraging PGHD to realize all these benefits. The process must include systems for proper healthcare data management which is inextricably linked to healthcare technology solutions.

Contact us at Acuma Health, where we assist healthcare stakeholders understand the digital health landscape including the benefits of PGHD, and provide you with solutions to solve your healthcare data management problems.

Internet of Medical Things (IoMT) Offers Significant Opportunities for Forward-Thinking Healthcare Stakeholders

Proactive Healthcare Stakeholders Lead the Way to a Brighter Future of Healthcare

December 16, 2019

Internet of Medical Things (IoMT) Offers Significant Opportunities for Forward-Thinking Healthcare Stakeholders

Most of us are familiar with the term Internet of Things (IoT) which refers to all web-enabled devices – smart cars, smart thermostats, home security systems, fitness watches, internet-enabled kitchen appliances – all devices that connect to each other and to the internet. However, what many of us are less familiar with is the Internet of Medical Things (IoMT), a term used to describe internet-connected devices that can generate, collect, analyze, and transmit medical data, creating a connected infrastructure of health systems and services. Smart devices such as wearables, medical/vitals monitors, MRI scanners, mHealth applications, smart hospital beds, and medication dispensers, are all a part of the IoMT.

“The Internet of Medical Things (IoMT) is an amalgamation of medical devices and applications that can connect to health care information technology systems using networking technologies.”

Alliance of Advanced Biomedical Engineering

The IoMTmarket is estimated to grow to $158.1 billion in 2022, and the number of IoMT devices are expected to top 20 to 30 billion by 2020. There are applications for IoMT in on-body consumer health wearables and clinical-grade wearables; in-home uses such as remote patient monitoring devices; community uses including mobility services that allow passenger vehicles to track health parameters during transit; in-clinic uses such as digital stethoscopes; and in-hospital uses such as wearable defibrillators.

Frost & Sullivan in their take on the IoMT reshaping proactive and coordinated care delivery, noted that there are some disruptive innovations that are possible with the IoMT:

  • Medical-grade wearables and smart implants that communicate patient parameters
  • Virtual assistants at home to help patients and seniors with their self-care, mHealth applications, and smart diagnostic medical devices that support telehealth services
  • Smart cars that can track vitals of passengers during transit
  • Exigency support by drones for emergency response
  • Smart, digitized clinical devices like digital stethoscopes for clinicians in primary care
  • Smart hospital rooms that allow patients to communicate with care teams virtually, from their bedside
  • Kiosks at community centers to improve access to informational services, pharmaceutical products, and telemedicine services.

IoMT is continuing to change the face of healthcare and provides the opportunity for healthcare stakeholders to become more proactive instead of reactive. While patients can use IoMT to monitor, inform and notify them of their health status and notify caregivers of any issues, proactive healthcare stakeholders can leverage IoMT by utilizing the data generated to identify issues before they become critical or to allow for earlier invention. Patient-generated health data can be incorporated into care planning and used to provide more personalized care delivery to the patient. Proactive healthcare stakeholders can utilize predictive care solutions and artificial intelligence (AI) software to intelligently sort through the wealth of data from IoMT devices to deliver relevant data to healthcare providers, as well as to stratify and even predict risks and intervene long before a problem develops.

Major benefits can be derived by both patients and healthcare stakeholders from leveraging the technologies available through the IoMT. Healthcare organizations can achieve better patient outcomes, lower healthcare costs, improve efficiency, and activate new ways of engaging and empowering patients. Traditional healthcare is changing, and proactive healthcare stakeholders need to be on the right side of this change, leveraging the capabilities of the IoMT to improve their care delivery and operational efficiencies.

Contact Acuma Health for ideas on how to derive the benefits offered by the IoMT.

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Patients as Partners: 7 Ways to Improve Patient Compliance

November 20, 2019

Improve Patient Compliance Using Patient Generated Health Data and Patient Engagement

Although most commonly used in reference to medication, patient compliance or adherence is how well a patient follows a prescribed medical regimen or treatment plan as it is intended. The duration, frequency, and complexity of the behavior(s) required of the patient,all have an impact on the level of patient compliance.  

“Patient compliance is “the extent to which a person’s behavior (in terms of taking medications, following diets, or executing lifestyle changes) coincides with medical or health advice.”

Patient Compliance and Health Behavior Models

Patient non-compliance is a huge problem for the healthcare industry with reports of non-compliance costing the US economy between $100 and $300 billion dollars annually, inclusive of costs related to avoidable hospitalizations, nursing home admissions, and premature deaths. Another report places the figure even higher, at more than $564 billion dollars annually. To prevent the burden that non-compliance places on the healthcare industry and the economy, improving patient compliance must be a priority for all healthcare stakeholders.

7 Ways to Improve Patient Compliance

Improving patient compliance requires patients to become engaged in their healthcare, taking responsibility for their well-being, and actively participating in their health decisions. Healthcare stakeholders have begun implementing different patient engagement strategies and tools to improve patient compliance and resultant health outcomes. However, for any of these strategies to be successful, healthcare stakeholders need to work with patients as partners and actively engage them in the process. Healthcare organizations can improve patient compliance by:

  1. Devising and implementing policies and procedures that support patient engagement as well as policies that help identify the non-compliant patients
  2. Leveraging patient generated health data to assist in creating treatment decisions
  3. Utilizing available healthcare technology
  4. Facilitating patient education about their illnesses/conditions and how to manage their conditions, including medication management
  5. Including the patient in the decision-making process surrounding their healthcare
  6. Engaging and empowering caregivers to provide patient-centered care
  7. Measuring progress and making changes where necessary

Simplifying the process surrounding the treatment regimen as much as possible will go a long way in improving patient compliance.

Patient Engagement to Improve Patient Compliance

An engaged patient is more likely to be a compliant patient. Healthcare organizations need to invest in patient engagement strategies to improve patient compliance and health outcomes. Policies must be developed and implemented to demonstrate the organization’s commitment to patient engagement and procedures for all staff to follow in engaging patients must also be implemented. Organizations must alsoensure that patients are treated with respect and that the organization feels welcoming to patients. The way patients are treated impacts how much they value the care they are provided by an organization which may also influence how well they comply with their treatment regimen.

“Engaged patients are better able to make informed decisions about their care options.”

WHO Report

Organizations should also (i) ensure that care providers are afforded adequate time with each patient so that they can really communicate with the patient to find out their health status and how their lives outside of the healthcare setting may be impacting their compliance (ii) make it a policy for providers to ask questions such as “What medications are you taking?” and “How often do you take a particular medication?” Providers also need adequate time to educate patients on their chronic conditions and how best to manage them.

Healthcare organizations should utilize technology for patient engagement which can improve patient compliance – employ electronic health records (EHRs) to simplify the patient registration process, facilitate online bill payments, secure messaging, etc. EHRs can also help providers to easily keep track of and update patients’ medications thus facilitating the smooth coordination of a patient’s medications across all healthcare stakeholders. Healthcare organizations should develop patient portals that provide patients with relevant information and facilitate interaction with the healthcare team, and incorporate technology that can make the medication prescription and dispensing process simpler and faster, such as Computerized Physician Order Entry (CPOE) or electronic prescribing (e-prescribing) tools.

Patient Generated Health Data (PGHD) can be Used to Improve Patient Compliance

Patients nowadays are generating a tremendous amount of their health care data on their own through use of technologies such as wearable devices and mHealth apps. Patients are also being monitored remotely through registered medical devices such as the pacemaker and blood glucose monitors that monitor data on heart rate and blood glucose levels. Healthcare organizations should encourage healthcare providers to use PGHD to assist with creating treatment regimens for their patients. Utilizing PGHD in this manner can improve patient engagement and by extension, improve compliance as well. It has been shown that patients were more engaged when PGHD were used during their office visits compared to when PGHD were not used. Patients who see and feel that their healthcare providers are invested in their health and value their contributions including their PGHD, are more likely to be engaged and compliant with treatment plans.

In order to facilitate and encourage the use of PGHD in treatment and care, healthcare organizations can also harness and implement Digital Disease Management Solutions that provides a user-friendly environment to identify changes in disease condition, manage medication adherence and enable easy communication between patients and healthcare providers. Improving patient compliance is essential to reducing disease burden, the cost of chronic care and improving patient outcomes. Healthcare organizations need to take necessary steps to improve patient compliance by treating patients as partners and utilizing available healthcare technologies and PGHD.

Learn more about Acuma Health technologies to help you incorporate patient generated health data into your healthcare organizations or begin leveraging healthcare technology today with this guide.

Medication Management to Reduce Avoidable Readmissions

October 23, 2019

Improve Patient Compliance in Medication Management

Patients with chronic illnesses are usually placed on a chronic care management plan that includes multiple medications. Proper medication management, including compliance with the care management plan, is integral to successfully treating high risk patients with chronic conditions and minimizing hospital admissions and readmissions.

Non-compliance or non-adherence to medication is of global concern in healthcare and is associated with poorer patient outcomes including hospital readmissions and death. There are reports of medication non-adherence affecting 50% of patients and resulting in an increased likelihood of hospitalization by up to 134% for diabetes, high blood pressure, and high cholesterol. Medication management can improve patient compliance and therefore significantly reduce avoidable hospital admissions and readmissions. Patient compliance with respect to medication management could be improved in ways such as:

  • Providing support so that patients can better understand their disease and its management
  • Providing medication management counselling for caregivers
  • Incorporating pharmacists into the care team as coaches for drug therapies
  • Leveraging healthcare technology such as automated medication dispensers and text message reminders

Medication Management in Reducing Avoidable Readmissions Effectively

With non-adherence to medication comes increased hospital readmissions and associated costs. Healthcare organizations, spurred by regulations of the Affordable Care Act which instituted penalties for excessive 30-day hospital readmission rates for certain conditions, are implementing programs to reduce these rates. The Reducing Avoidable Hospital Readmissions Effectively (RARE) campaign was one initiative within the Minnesota Hospital Association aimed at reducing avoidable hospital readmissions. The RARE campaign saw healthcare stakeholders in the state of Minnesota collaborating to combat the issue of avoidable hospital readmissions within 30 days of hospital discharge by focussing on five key strategies:

  1. Comprehensive discharge planning
  2. Medication management
  3. Patient and family engagement
  4. Transition care support
  5. Transition communications

The medication management strategy included educating patients to ensure that they knew about their medications and how to take them properly, providing a written list of instructions to both the patient and his/her family, and collecting a list of the medications a patient was taking and updating it with any changes that was made in the hospital so that the next healthcare provider had the patient’s most current medications. Additionally, patients with multiple prescribed medications (greater than 5), or more than two medication changes in the hospital, were referred for follow-up visits with other healthcare professionals to help them manage their prescriptions.

The RARE campaign was a success with the Minnesota Hospital Association reporting 9,981 readmissions avoided, 39,924 nights where patients slept in their own beds, and $87.9 million in savings between 2009 and the second quarter of 2014.

Healthcare Technology to Support Medication Management

The use of healthcare technology is becoming mainstream and essential. As in many other aspects of healthcare, technology can be leveraged to support medication management for the benefit of all healthcare stakeholders. Some ways in which healthcare technology can be used to support medication management include:

  • Electronic Health/Medical Records (EHR/EMR)–can be used to accumulate and update medications thus facilitating the smooth coordination of a patient’s medications across all healthcare stakeholders.
  • Electronic Decision Support Systems (EDSS)–these are tools that can be used to support healthcare providers in making evidence-based decisions at the point of care and to provide patient-specific recommendations.
  • mHealth apps – these can be utilized to remind patients to pick up or renew their prescriptions, take medication based on their prescribed medication schedule, keep track of their medications, and record progress.
  • Technology to support different aspects of medication management–Computerized Physician Order Entry (CPOE) or electronic prescribing (e-prescribing) tools can be used to support medication ordering, bar coding can support nurses in medication administration, and there are tools for assisting pharmacists with reviewing medication orders and dispensing.
  • Error monitoring – Computerised systems and applications can be utilized to facilitate documentation and detection of Adverse Drug Effects and support the voluntary reporting of medication errors to regulatory bodies.
  • Text messages – can be used by healthcare providers to remind patients of when and how to take their medications as well as remind them to refill and/or renew their prescription
  • Automated medication dispensers – dispense pre-packaged medication in the right dose and at the right time. These machines can remind patients of the time to take their medications as well as collect data on missed doses that can be fed back to the patient’s healthcare provider for use in their care management.

Healthcare technology is revolutionizing the way healthcare services are provided and is beneficial to the patient and all healthcare stakeholders. There are many tools that can be utilized to manage health conditions and improve patient outcomes. See how Acuma Health’s Digital Disease Management Solution can help your healthcare organization improve outcomes and optimize care. For more strategies on improved management of patients, download the Guide to Leveraging Healthcare Technology.