Community care for chronic disease

Question 1

Define Long Term Condition

Answer 1

A condition that cannot, at present, be cured; but can be controlled by medication and other therapies.

E.g. diabetes, CHD, COPD

Question 2

What is the Kaiser Permanente Model?

Answer 2

Pyramid:

• Patients at the top:
  
  • Case management
  • Highly complex patients
  • 5% of patients = 70% of costs
• Middle:
  
  • Specialist disease management
  • High risk patients
• Bottom:
  
  • Self managing patients and supporting care
  • Less complex conditions