Chronic Disease ManagementJSI 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.
Learn more about JSI's work in diabetes prevention, treatment, and management.
This project promotes comprehensive asthma control services in Vermont and reduce the burden of asthma in the state, particularly targeting populations experiencing the greatest burden.
From a groundbreaking waiver allowing NY to reinvest billions in federal savings, JSI will support the Central NY Care Collaborative in implementing the waiver dollars - addressing critical issues throughout the state and encouraging comprehensive reform.
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.
The Massachusetts Asthma Prevention and Control Program is conducting program evaluation activities, including developing a comprehensive, five-year evaluation plan, with JSI guidance.
To help the Rhode Island Department of Health protect and promote health in the state, JSI developed a set of valid measures of health outcomes, health-related behaviors, and health system performance that can be generated on a timely basis.
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.