 INTEGRATED DIABETES CARE
A Quality Care Management Program for Diabetes
Approximately 40,000 South Dakotans have diabetes (diagnosed and undiagnosed). Because of the prevalence of and necessity for daily management of diabetes, a large number of claims are made for diabetes care. Through Integrated Diabetes Care, Quality Care Management teams patients with medical staff who provide individualized, preventive care to keep them healthier and reduce claims costs.
How the Integrated Diabetes Program Works:
- Through claims analysis, our staff identifies and contacts members with diabetes about participation. Program materials are sent to the patient's primary care physician, and the patient receives an enrollment packet inviting them to participate.
- Once enrolled, members are risk-stratified, and our staff performs more intensive interventions with members identified as high-risk.
- Members are teamed with their physician, clinic and local area staff who provide:
- Documentation and tracking of medical care, including appointment
reminders and referral assistance for support services;
- Assessment of patient progress in self-management programs and
reinforcement of any educational compliance deficits through follow-
up contacts;
- Continuous communication to assess and enhance current progress
and compliance;
- Support through an established toll-free phone number for clinical and
behavioral support as needed.
- The patient's team also maintains a centralized data collection system containing patient information, and acts as an overall patient resource.
The Integrated Diabetes Care Program significantly reduces diabetes care claims costs and assists patients in improving their individual health.
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