Meeting the complex needs of patients with chronic disease is a huge challenge for healthcare providers. Patients with conditions like heart disease and diabetes don’t make frequent healthcare visits, so managing these conditions requires strategies that engage the patient in behavior change and self-care as well as more effective care coordination.

Primaris’ chronic disease management solution helps providers categorize patients by risk level and identify gaps in care. We then help you look at workflow process, technology, physician and patient engagement strategies to better manage chronic diseases.

Download our resources here to further understand how our service can help you.
It’s Time to Focus on Preventive Care
Checklist For Moving to the Preventive Care Model
Pioneer Preventive Care with Primaris

We offer the following Chronic Disease Management services:

Thresholds for Success

  • Chart abstraction
  • Chart review
  • Program review
  • Data analytics
  • Patient stratification
  • Focus group
  • Patient survey
  • Thresholds report


Improvement Strategies

  • Root cause analysis
  • Gap analysis
  • Program development/improvement
  • Technology considerations
  • Security plan
  • Clinical workflow analysis
  • Physician engagement strategies
  • Patient engagement strategies
  • Facility design
  • Change management plan
  • Quality improvement plan
  • Patient (as a customer) strategy
  • Patient experience design
  • Process review, alignment and standardization


Measures for Goal Attainment

  • Goal statement
  • Multi-year goal setting
  • Timeline planning
  • Resource planning
  • Budget planning
  • Prioritization
  • Action plan
  • Goal setting across continuum of care
  • Goal-to-actual reporting


Execution and Evaluation

  • Strategy implementation and execution
  • Project management
  • Facility marketing
  • Pilot projects
  • Clinical documentation improvement
  • Policies, processes & procedures
  • Process mapping
  • Staff training and education
  • Team development
  • Facility positioning
  • Just in time analysis, analysis and reporting