Construction

The Content Board decides on the method of required care for chronically ill patients – based on the existing guidelines and (ever continuous) present development in health care.
What is the sequence in building a Disease Management System?

Stock taking:
The necessary amount of information to be gathered is substantial. So that the care professional does not have to use precious ‘care’ time in entering data-input, patients themselves are requested to use interactive internet questionnaires for compiling their own health situation dossier.
Alongside this, links with medical equipment and generic Electronic Medical Records are created. The physician’s assistant or the care professional gathers and checks information on a preliminary case history of a patient, medication and possible allergies; when necessary a supplementary anamnesis and physical examination is performed.

Based on the accumulated data the Disease Management System advises on supplementary examination. A nurse practitioner or specialized nurse can do this inventory without input from a doctor.
The Stock-taking phase is shown in the left-hand column.

Diagnostics and treatment plan:
The CURIT Disease Management System builds a patient profile by combining the knowledge with the record part of the system and – after a physician’s supervision and consent – proposes a treatment plan in accordance with the Content Boards advice. This phase is shown in the middle column.

Treatment:
After finalising the treatment plan, the nurse can act as case manager and treat the patient in line with the guidelines, which are incorporated in the EPR as part of the Disease Management System. For example: dose adjusting of medication, lifestyle modifications or guideline based examinations (right column).

Reporting:
The necessary documentation of records and treatment reports are computerized as far as possible. Letters to GP’s are almost completely automatically generated and CURIT Disease Management System automatically composes progress records and performance indicators for health care insurers and the health care inspectorate. In this way we are seeking to ensure that the care professional can focus on the most rewarding part of the job, providing top quality care for the patient, whilst the whole process has also become transparent.

This is how an ict-guided CURIT Disease Management System is generated. Adding Telemedicine is a valid extension to our systems. Information regarding Telemedicine can be found further on this site.