Chronic Disease Management


JSI views chronic diseases, which are among the most deadly and costly of health problems in the United States, as an increasingly urgent matter. More than half of the people living in the U.S. have at least one chronic health condition, such as heart disease, stroke, diabetes, obesity, and cancer. Chronic health conditions account for seven out of 10 deaths in America and 75 percent of our nation's health care spending. There is, however, much that can be done to prevent chronic diseases by promoting behavioral changes, such as greater physical activity, better nutrition, and less tobacco use.

To improve health outcomes and lower health care costs, JSI takes what might be called a socio-ecological approach to the problem of chronic diseases. JSI recognizes that an individual is influenced by a combination of individual, relationship, community, and societal factors. Interventions and prevention strategies include a continuum of activities that address multiple levels of the model as appropriate, across the lifespan. The socio-ecological approach is particularly important in addressing health equity in chronic disease management; JSI believes that the consideration of the social determinants of health and the environment are integral to understanding the causes of racial and ethnic health disparities.

JSI is active in supporting and steering change associated with health care reform and chronic disease management as part of the overall emphasis on improving the efficiency of health care. JSI is a national leader for offering technical expertise toward improving patient care delivery systems and management, quality improvement, utilization review, payment systems and cost analysis, needs assessment and strategic planning.


Highlights

PROJECT
View details: Reducing Medicaid Readmission among Safety Net Hospitals

Reducing Medicaid Readmission among Safety Net Hospitals

Safety net hospitals, which serve the nation's most vulnerable populations, have high rates of avoidable Medicaid readmissions. To reduce costs and improve care, JSI will adapt and test current best practices for improving care transitions.

PROJECT
View details: Patient-Centered Medical Home and Chronic Care Model

Patient-Centered Medical Home and Chronic Care Model

JSI helped Potomac Street Health Center, a clinic serving older adults facing barriers to health care, develop a patient-centered medical home model of care to ensure these patients’ needs were met.

PROJECT
View details: New Hampshire Healthy Eating Active Living Initiative

New Hampshire Healthy Eating Active Living Initiative

To improve quality of life, a partnership of public and private groups sought input from schools, the health care industry, businesses, and government on ways to promote healthy eating and active living using an interactive process led by JSI.

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