Hometown Health Administrative Guidelines | Page 63

Health . Access to these records will be granted , even after termination with any agreement with Hometown Health , for the period in which the agreement was in place .
Preventive and Clinical Health Guidelines
Hometown Health is dedicated to optimizing our members ’ health . In the pursuit to achieve the highest quality of care , Hometown Health has developed Preventive and Clinical Health Guidelines . These guidelines , based on the most current guidelines as published by benchmark institutions as the Centers for Disease Control and Prevention , the US Preventive Health Task Force , the American Academy of Family Physicians , and others , offer the provider evidence-based guidelines to assist in the rendering of preventive services and clinical health services specific to certain disease states , including :
• Diabetes
• Asthma
• Chronic Obstructive Pulmonary Disease ( COPD )
• Congestive Heart Failure ( CHF )
• Hypertension ( HTN )
Hometown Health encourages the use of these commonly-accepted guidelines through educational opportunities for your provider network .
Managing Disease
To help our members improve their quality of life and reduce their need for hospitalization , Hometown Health had developed disease management programs . The diseases we are currently targeting are diabetes , respiratory ailments ( asthma and COPD ), and congestive heart failure .
Providers who participate in a disease management program agree to follow the standards set by the program . Hometown Health relies on cooperation from our providers in treating our members according to these standards . For example , members with diabetes must have a dilated eye exam annually by an eye care professional , to examine for evidence of diabetic retinopathy ( the dilated eye exam is an example of just one of the measures identified during a medical record review for HEDIS measures ).
Our disease management program goals are to provide a collaborative approach with the member ’ s personal physician in order to prevent acute exacerbation and long-term complications associated with the disease , and to ultimately promote the optimal health of the member .
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