Chronic Disease Management
Chronic Disease Management (CDM) supports patients with conditions like diabetes, COPD, and heart and kidney diseases by providing personalized care at home. This includes care plans, education, treatment coordination, lifestyle coaching, medication support, and access to community resources.
Chronic diseases like diabetes, COPD, heart disease and kidney disease can significantly impact physical, mental, and emotional well-being, disrupting daily life and relationships if left untreated.
CDM empowers patients to understand and manage the specifics of their condition and health, improving quality of life, reducing hospital visits, and lowering healthcare costs. By addressing each patient’s unique needs, CDM promotes self-care and overall well-being.
Is Chronic Disease Management For You?
What We Do
We detail a strong care plan to help you manage your chronic conditions, restore independence, and improve quality of life by involving you, your doctor and/or specialists, and your family and/or caregivers.
We Keep Things Simple
We offer patients clear and easy-to-understand information, empowering them with self-care essentials. Collaborating with doctors, we clarify medical instructions for those who feel unsure.
Our team assists patients in managing medications, symptoms, mobility, and other aspects of care.
We also provide guidance on medication management and emphasize the importance of lifestyle factors such as weight, exercise, and nutrition to support effective self-care.
We Communicate & Clarify
Our mission is to enhance quality of life and reduce the challenges of managing a chronic condition. We empower patients with knowledge about their condition, equipping them with the tools and confidence to manage it effectively.
We offer resources to promote self-management, helping patients identify warning signs early and maintain their independence. Through comprehensive assessments, we address medication, symptom management, mobility, and other needs, providing physical therapy, specialized equipment, and nutritional guidance as necessary.
What Chronic Disease Management Does For You
Ensuring safe medication use.
Medication management minimizes the risk of fragmented care, adverse drug reactions, and medication errors for patients requiring multiple medications.
Enhancing quality of life.
We help our patients manage their chronic conditions because enjoying life is so much more than enduring.
Independence is a key component to positive health management.
Patients are empowered to make independent disease management decisions. Playing an active role in managing their health, patients are more likely to stick to treatment plans and often experience improved quality of life.
Patient engagement is a benefit.
Taking an active role in managing their health equals a patient more likely to stick to treatment plans and often experience an improved quality of life.
Free in-home assessment.
Our RN assesses each patient to determine what services are need, and to identify any potential risks in the home.
We Elevate Support
We identify and address care gaps and barriers, working closely with patients to improve care and reduce long-term complications or hospitalizations.
Medication Management
Medication mistakes are common, leading to serious health risks. Our team works with
doctors to create personalized medication plans, ensuring safe, timely use and preventing errors. Medication management helps ensure patients take the right medications at the right times.
Addressing Gaps & Barriers
We help patients overcome challenges in self-management, from healthcare coordination to physical, emotional, and cultural barriers, reducing complications and improving outcomes. Issues with healthcare coordination, combined with issues related to language, education, cultural, and ethnic barriers can also add complexity.
Home health services and home care services serve distinct purposes. Home care focuses on non-medical daily tasks for individuals who need assistance with everyday activities. This can include help with medical appointments, senior transportation, grocery shopping, bathing, meal preparation, medication reminders, and other personal care needs.
Home health services, on the other hand, address specific medical needs prescribed by a doctor. These services involve healthcare professionals providing ongoing medical care in the home. 
How to Qualify for Medicare Home Health Benefits
To qualify for Medicare home health benefits, an initial evaluation of physical health is required. Since most home health agencies assign and oversee healthcare providers, it’s essential to understand the specific health criteria they follow to ensure eligibility. Medicare-certified agencies adhere to specific standards.
Medicare covers your home health care if:
Note: Medicare will not cover home health care if you only need occupational therapy. However, if you qualify for other home health services, you can also receive occupational therapy. When other care ends, occupational therapy may continue to be covered under Medicare’s home health benefit if you still need it.
A comprehensive medical evaluation will determine eligibility for Medicare home health services.
Tri-County Home Care of Florida is a Medicare-certified home care agency serving the following counties:
