Cardiac Disease Management Program

Our Cardiac Disease Management Program is a comprehensive program for all cardiac patients! We provide the tools, information and education necessary to maintain a healthy and independent lifestyle.


  • Heart arrhythmias
  • Chest pain
  • Increase in body weight
  • Increased swelling in legs
  • Shortness of breath
  • Trouble breathing when lying flat on back


  • PT/INR and pulse oximetry
  • Extensive patient/family education
  • Education about living well with heart disease
  • Specific teaching guides for comprehensive care
  • Coordination with facilities, physicians, the patient and their family
  • Post discharge Transitional Care Coordinators maintain contact with patient to assure continued compliance and stabilization
  • Provides clinical outcomes
  • Healthy lifestyle changes
  • Early detection
  • Education on diet, disease and medication to improve self management
  • Medication compliance evaluation conducted every visit
  • Log daily body weight and exercise regimen
  • Techniques to conserve Energy in order to enhance independence
  • Patient benefits/services


  • Measurable outcomes throughout the episode and three months post discharge with a reduction in hospital/ER visits
  • Comprehensive case management including a single point of contact
  • Physician protocol compliance
  • Single point of contact for coordination of service and reporting
  • Two to four hours of staff education initially; two hours annually; competence validation is included
  • Outcome-based treatment plan
  • Thorough physical assessment


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