Community-based Disease Management

A patient-centric approach to health care in which chronic disease-specific preventive care and case management is provided by a team of clinical and support staff in the community setting.

Featured Community-Based Disease Management Programs: 

• Access to Wellness Program run by Johns Hopkins Bayview Medical Center, Community Psychiatry Program

• Reducing Asthma Disparities run by Baltimore City Health Department​

• Maintaining Independence at Home Project run by Johns Hopkins Bayview Medical Center

• Memory and Alzheimer’s Treatment Center Program run by Johns Hopkins Bayview Medical Center

• Shore Wellness Partners run by Shore Health Systems (Integrated)

• The CHF Initiative run by Anne Arundel Health System (Integrated)

• The Maryland P3 (Patients, Pharmacists, Partnerships) program run by University of Maryland School of Pharmacy

• The Sickle Cell Center for Adults Run by Johns Hopkins and Amerigroup