Designed for the Unique Needs
of Homecare Providers

This site provides homecare clinicians with access to chronic care management models, best practices and downloadable resources for homecare patients.

Heart Failure
Hypertension and Angina
Diabetes
Best Practices 
Nutrition
Exercise
Monitoring
Medications
Problem Solving
Coping
Assess 
Plan 
Implement
 Evaluate 
Risk Reduction

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"The body of knowledge that serves as the rationale for nursing practice determines the areas of specialty to develop as well as the manner in which that knowledge is organized, tested and applied." -Carper, 1978

Diabetes > Coping > Evaluate

Evaluate

Minimizing risk factors and maintaining or improving diabetes control can assist in the evaluation of coping mechanisms.
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 Questions To Be Considered:
  • Has patient’s stress or depression improved?

  • Is the patient maintaining or improving diabetes control?

  • Has the patient been able to minimize risk factors affecting diabetes control?

Diabetes Flow Sheet and Chart Audit Tool (pdf) - Dec 31st, 2010
Diabetes Patient Flow Sheet and Chart Audit Tool

Heart Failure Flow Sheet and Audit Tool - Level 3 (doc) - Aug 1st, 2010
Flow sheet and audit tool for heart failure patient charts

Diabetes Adverse Outcome Audit Tool (pdf) - Jul 31st, 2006
Form for Clinicians to Use to Monitor Patient

Clinical Documentation (pdf) - Jul 18th, 2006
Clinical Documentation for Patient's Permenant Record

Financial Documentation (pdf) - Jul 18th, 2006
Financial Documentation for Patient's Permenant Record

 


The development of the hypertension and chronic stable angina project was made possible by a grant from the New York State Attorney General on behalf of the Attorneys General of all 50 states, DC and Puerto Rico from litigation settlement funds to benefit the healthcare needs of consumers with high blood pressure and angina. Original funding for the site was provided in part by US Congress and CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.