Chronic Care Manangement by the Numbers
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Statistics of chronic conditions tracked and reported by CMS utilized in the chronic care management improvement.
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Atrial fibrillation and aortic dissection
1. Aortic dissection occurs when the layers of the aortic wall split, allowing blood to flow between the layers. It is a leading cause of death from aortic disease.
2. Major risk factors for aortic dissection include hypertension, aging, smoking, dyslipidemia, genetic conditions, and aortic aneurysm.
3. Type A aortic dissection, which involves the ascending aorta, requires urgent surgery to prevent catastrophic complications. Type B dissection involving the descending aorta may be treated medically or surgically depending on complications.
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Heart failure affects millions of people worldwide and poses a significant economic burden. It is the leading cause of hospitalization among those over 65 years old. The symptoms of heart failure are often misunderstood and not recognized, leading many to delay or avoid seeking needed medical care. Left untreated, heart failure can be fatal, with up to 30% of patients dying within a year of hospitalization and half dying within 5 years of initial diagnosis. There is an urgent need for greater public awareness of heart failure symptoms to help people seek timely treatment and live longer, better lives.
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- Risk factors for cardiovascular disease in India include smoking, diabetes, hypertension, obesity, unhealthy diets, physical inactivity, stress, and genetics.
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Despite major advances in the cardiovascular medicine in the 20th century, heart failure (HF) is an exceptional with estimated prevalence of >37.7 million globally caused by secondary aetiologies ultimately affecting their quality of life, including dyspnoea, poor exercise tolerance, fatigue, and fluid retention. Currently, angiotensin receptor blockers (ARBs), angiotensin converting enzyme (ACE) inhibitors, mineralocorticoid receptor antagonists, β blockers, angiotensin receptor blocker neprilysin inhibitors (ARNIs) and advanced device therapies have been administered to patients with reduced ejection fraction (EF).
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Atrial fibrillation and aortic dissection
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2. Major risk factors for aortic dissection include hypertension, aging, smoking, dyslipidemia, genetic conditions, and aortic aneurysm.
3. Type A aortic dissection, which involves the ascending aorta, requires urgent surgery to prevent catastrophic complications. Type B dissection involving the descending aorta may be treated medically or surgically depending on complications.
Heart Failure in Numbers
Heart failure affects millions of people worldwide and poses a significant economic burden. It is the leading cause of hospitalization among those over 65 years old. The symptoms of heart failure are often misunderstood and not recognized, leading many to delay or avoid seeking needed medical care. Left untreated, heart failure can be fatal, with up to 30% of patients dying within a year of hospitalization and half dying within 5 years of initial diagnosis. There is an urgent need for greater public awareness of heart failure symptoms to help people seek timely treatment and live longer, better lives.
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Despite major advances in the cardiovascular medicine in the 20th century, heart failure (HF) is an exceptional with estimated prevalence of >37.7 million globally caused by secondary aetiologies ultimately affecting their quality of life, including dyspnoea, poor exercise tolerance, fatigue, and fluid retention. Currently, angiotensin receptor blockers (ARBs), angiotensin converting enzyme (ACE) inhibitors, mineralocorticoid receptor antagonists, β blockers, angiotensin receptor blocker neprilysin inhibitors (ARNIs) and advanced device therapies have been administered to patients with reduced ejection fraction (EF).
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Cardiovascular disease is very common in patients with chronic kidney disease.
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Cardiomyopathy in HIV patients has been shown to progress faster than idiopathic Dilated Cardiomyopathy in the HIV negative population. It is therefore important to recognize this condition early in this population and manage it appropriately. Studies need to be done to validate the current therapy for cardiomyopathy in this population since it is still unclear that LV dysfunction in this population responds in a similar fashion as in HIV negative patients with Dilated Cardiomyopathy
CHD and anaemia
Chronic heart disease and Anaemia. Heart failure is a very common disease, with severe morbidity and mortality, and is a frequent reason of hospitalization.
Anemia and a concurrent renal impairment are two major risk factors contributing to the severity of the outcome.
Heme iron is absorbed through a separate pathway and does not have to be discontinued when intravenous treatment is started. This can allow for longer intervals between resource-heavy, inconvenient and painful injections. Oxidative stress is also avoided.
Heme iron does not need to be discontinued during injection or EPO therapy like non-heme oral iron.
International Journal of Clinical Endocrinology
Addison’s Disease (AD) or primary adrenal insuffi ciency has been thought a rare disease for a long time, but recent epidemiological studies have reported a rising prevalence in developed countries. Among the causes of apparently idiopathic forms, autoimmunity plays a relevant role. This review will be focused on several aspects of autoimmune AD, which may manifest either as an isolated disorder or associated with other autoimmune diseases among the autoimmune polyglandular syndromes. HLA plays a key role in determining. T cell responses to antigens, and various HLA alleles have been shown to be associated with many T cell-mediated autoimmune
disorders, but the mechanism by which the adrenal cortex is destroyed in AD is still discussed. Cytotoxic T lymphocytes are thought. to be the most important effector cells in mediating the autoimmune tissue destruction, because Adrenal Cortex Autoantibodies (ACA) and/or autoantibodies against 21 idroxylase (21-OHAb) do not seem to be directly involved in the pathogenesis, being considered only good marker of the disease both in clinical and in preclinical stage. In fact, subclinical autoimmune AD can evolve trough 5 functional
stages from stage 0 (only presence of autoantibodies) to stage 4 (clinically overt disease). All the fi ve stages are characterized by the presence of these antibodies but only when they are present at high titre in subclinical stages are associated with the progression towards clinically overt autoimmune AD, whereas a spontaneous remission of subclinical adrenal dysfunction with their disappearance may occur when they are present at low titres. Treatment of AD is based on the use of hydrocortisone or cortisone for symptomatic patients; fl udrocortisone should be used as substitute for mineral-corticosteroids. In some cases, an early replacement therapy has been shown to be helpful to interrupt the progression towards the clinical stage with disappearance of these autoantibodies and recovery of adrenal
function. In addition, a life-threatening adrenal crisis in patients with chronic adrenal insuffi ciency under established replacement therapy. may occur. Clinical medicine must pay attention to these situations because an untreated Addisonian crisis is a medical emergency that requires hospitalization, and if not caught early can be fatal.
Coronary Artery Disease in HIV
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Impact of hba1 c
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This paper would highlight the importance and need for mobility in the area of Healthcare, more specifically for Cardiovascular Studies.
Interheart risk modifiable factors in micardio infraction 2004
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Is Your Heart Worth $100? How Not To Die.
Watch me get shocked (cardioverted) in the ER: https://youtu.be/1rOiLtde14Q
Heart disease remains the top killer. Unfortunately, the first sign of a problem is sudden cardiac death for about 50% of people with heart disease.
This quick test can help discover if you have heart disease. This slide deck is part of the Men's Health course.
Here is how this will affect life: http://mitchelmd.com/rage
Listen to the presentation here: https://projectyou.thinkific.com/ as well as others.
Ojchd.000547
Essential hypertension, the most common type, is an important cause of morbidity and mortality in the elderly, a rapidly growing section of the population. It is a sad reality that until the 1950s treating benign hypertension was not thought to be necessary. The tragic death of Franklin Delano Roosevelt on April 12, 1945 at the age of 63 years, with a blood pressure of 350/195mmHg, and without treatment shocked the healthcare community.
AHA NPAM EPI 2007 Abstract
The study explored the relationship between metabolic syndrome risk factors, the Framingham Risk Score (FRS), and 10-year coronary heart disease risk (CHDR) in 73 extremely obese individuals. Triglycerides best predicted FRS, but the model fit was poor. A model including HDL, triglycerides, and waist circumference best predicted CHDR, accounting for slightly over half the variance. However, neither model was able to fully explain the variance, suggesting metabolic syndrome variables alone are not sufficient to accurately predict 10-year risk of myocardial infarction or coronary heart disease.
Epidemiology of Cardiovascular Diseases
What are the cardiovascular disorders?
Public Health importance
Burden of disease
Risk factors of cardiovascular disorders
Causation
Prevention strategies
Global Action Plan for the Prevention and Control of NCDs
India - National programme (NPCDCS)
MurphyKristin
Kristin Murphy collected data from 30 patients at a cardiac rehabilitation agency to analyze risk factors associated with heart disease. The majority of patients had high cholesterol, could improve their diets, or were obese. Over half the patients were male, consistent with heart disease being more common in men. Understanding risk factors through data collection is important for prevention, as lifestyle changes and regular checkups could significantly reduce the yearly toll of heart disease.
A Study on Food Habits and Social Habits as Risk Factors among Patients Under...
AIM A study on food habits and social habits as risk factors among patients undergoing Percutaneous Transluminal Coronary Angioplasty PTCA OBJECTIVE To know the association of food habits and social habits as risk factors for PTCA. To observe various co morbidities among the patients To study the bio chemical parameters in patients such as heamoglobin, PVC, platelet count, bilirubin levels. To observe various social habits in the patient, such as smoking and alcohol consumption. Food consumption pattern. METHODOLOGY The sample population n = 60 of 28 80 years of age were chosen from a multi speciality hospital in Hyderabad. All the patients were of different age groups, sex, socio economic status, ethnicity with different co morbidities. A pre tested format consisting of patients profile, subjective data, objective data, biochemical data, medications and 24 hour dietary recall followed by medical nutrition therapy during the hospital stay. RESULTS Among n=60 subjects from 28 80 years of age, the detailed study identified the common risk factors with respect to cardiovascular diseases. The study showed a higher percentage of age from 28 70 years and is mostly in males. Majority of the patients are with increased BMI and are alcholics smokers. Obesity, Hypertension and Diabetes are predominant and dietary patterns recorded are mostly non vegetarians with high calorie, high fat and high protein consumption. CONCLUSION From the result it is very clear that majority of the patients studied with cardiovascular diseases belong to the age group 28 70 years and is mostly seen in males. Majority of them are accompanied with co morbidities with obesity, hypertension and diabetic. And predominantly follow a high calorie and high fat diet .Thus leading to a conclusion that consumption of high calorie and high fat food, presence of co morbidities and smoking could be the risk factors of PTCA. Mrs. Meena Kumari | Mrs. Y. V. Phani Kumari | Gwyneth Madhulika Bashapaga | Ittamala Jaya Rachel ""A Study on Food Habits and Social Habits as Risk Factors among Patients Undergoing Percatenous Transluminal Coronary Angioplasty (PTCA)"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-3 , April 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23372.pdf
Paper URL: https://www.ijtsrd.com/other-scientific-research-area/other/23372/a-study-on-food-habits-and-social-habits-as-risk-factors-among-patients-undergoing-percatenous-transluminal-coronary-angioplasty-ptca/mrs-meena-kumari
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Anemia and a concurrent renal impairment are two major risk factors contributing to the severity of the outcome.
Heme iron is absorbed through a separate pathway and does not have to be discontinued when intravenous treatment is started. This can allow for longer intervals between resource-heavy, inconvenient and painful injections. Oxidative stress is also avoided.
Heme iron does not need to be discontinued during injection or EPO therapy like non-heme oral iron.
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Impact of hba1 c
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Watch me get shocked (cardioverted) in the ER: https://youtu.be/1rOiLtde14Q
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This quick test can help discover if you have heart disease. This slide deck is part of the Men's Health course.
Here is how this will affect life: http://mitchelmd.com/rage
Listen to the presentation here: https://projectyou.thinkific.com/ as well as others.
Ojchd.000547
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AHA NPAM EPI 2007 Abstract
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Public Health importance
Burden of disease
Risk factors of cardiovascular disorders
Causation
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Chronic disease what comes after risk factor epidemiology
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Cardiovascular disease Cardiovascular Disease in Rheumatoid Arthritis: A Syst...
Cardiovascular disease Cardiovascular Disease in Rheumatoid Arthritis: A Syst...
Serum uric acid as a marker of left ventricular failure in acute myocardial i...
Serum uric acid as a marker of left ventricular failure in acute myocardial i...
The use of mobile solutions in cardiovascular disease trials
The use of mobile solutions in cardiovascular disease trials
Interheart risk modifiable factors in micardio infraction 2004
Interheart risk modifiable factors in micardio infraction 2004
Similar to Chronic Care Manangement by the Numbers
MurphyKristin
Kristin Murphy collected data from 30 patients at a cardiac rehabilitation agency to analyze risk factors associated with heart disease. The majority of patients had high cholesterol, could improve their diets, or were obese. Over half the patients were male, consistent with heart disease being more common in men. Understanding risk factors through data collection is important for prevention, as lifestyle changes and regular checkups could significantly reduce the yearly toll of heart disease.
A Study on Food Habits and Social Habits as Risk Factors among Patients Under...
AIM A study on food habits and social habits as risk factors among patients undergoing Percutaneous Transluminal Coronary Angioplasty PTCA OBJECTIVE To know the association of food habits and social habits as risk factors for PTCA. To observe various co morbidities among the patients To study the bio chemical parameters in patients such as heamoglobin, PVC, platelet count, bilirubin levels. To observe various social habits in the patient, such as smoking and alcohol consumption. Food consumption pattern. METHODOLOGY The sample population n = 60 of 28 80 years of age were chosen from a multi speciality hospital in Hyderabad. All the patients were of different age groups, sex, socio economic status, ethnicity with different co morbidities. A pre tested format consisting of patients profile, subjective data, objective data, biochemical data, medications and 24 hour dietary recall followed by medical nutrition therapy during the hospital stay. RESULTS Among n=60 subjects from 28 80 years of age, the detailed study identified the common risk factors with respect to cardiovascular diseases. The study showed a higher percentage of age from 28 70 years and is mostly in males. Majority of the patients are with increased BMI and are alcholics smokers. Obesity, Hypertension and Diabetes are predominant and dietary patterns recorded are mostly non vegetarians with high calorie, high fat and high protein consumption. CONCLUSION From the result it is very clear that majority of the patients studied with cardiovascular diseases belong to the age group 28 70 years and is mostly seen in males. Majority of them are accompanied with co morbidities with obesity, hypertension and diabetic. And predominantly follow a high calorie and high fat diet .Thus leading to a conclusion that consumption of high calorie and high fat food, presence of co morbidities and smoking could be the risk factors of PTCA. Mrs. Meena Kumari | Mrs. Y. V. Phani Kumari | Gwyneth Madhulika Bashapaga | Ittamala Jaya Rachel ""A Study on Food Habits and Social Habits as Risk Factors among Patients Undergoing Percatenous Transluminal Coronary Angioplasty (PTCA)"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-3 , April 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23372.pdf
Paper URL: https://www.ijtsrd.com/other-scientific-research-area/other/23372/a-study-on-food-habits-and-social-habits-as-risk-factors-among-patients-undergoing-percatenous-transluminal-coronary-angioplasty-ptca/mrs-meena-kumari
Non st elevation myocardial infarction and unstable angina
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Cardiac risk evaluation: searching for the vulnerable patient
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Non c d communti
Rheumatic heart disease is a serious complication that can develop after acute rheumatic fever, which is caused by a prior streptococcal throat infection. It leads to damage of heart valves, most commonly the mitral and aortic valves, causing stenosis, regurgitation, or a combination of the two. While rheumatic heart disease was once a major health problem worldwide, its incidence has declined in Sudan in recent decades according to national surveys. The disease is diagnosed using the Modified Jones Criteria which looks for specific major and minor clinical features in combination with evidence of a previous streptococcal infection. Long term complications involve progressively worsening valve damage over time.
Syncope
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Atherothrombotic Disease, Traditional Risk Factors, and 4-Year Mortality in a...
Atherothrombotic Disease, Traditional Risk Factors, and 4-Year Mortality in a...Erwin Chiquete, MD, PhD
Erwin Chiquete, MD, PhD
Background: Atherothrombosis is becoming the leading cause of chronic morbidity in developing countries. This
epidemiological transition will represent an unbearable socioeconomic burden in the near future. We investigated
factors associated with 4-year all-cause mortality in a Latin American population at high risk.
Hypothesis: Largely modifiable risk factors as well as polyvascular disease are the main predictors of 4-year all-cause and
cardiovascular mortality in this Latin American cohort.
Methods: We analyzed 1816 Latin American stable outpatients (62.3% men, mean age 67 years) with symptomatic
atherothrombosis (87.1%) or with multiple risk factors only (12.9%), in the Reduction of Atherothrombosis for Continued
Health registry.
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hypercholesterolemia (60%), and smoking (52.3%) in patients with established atherothrombosis; and hypertension
(89.7%), diabetes (80.8%), and hypercholesterolemia (73.9%) in those with risk factors only. Four-year all-cause mortality
steeply increased with none (6.8%), 1 (9.2%), 2 (15.5%), and 3 (29.2%) symptomatic arterial disease locations. In patients
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disease (HR: 1.69), and age ≥65 years (HR: 1.47), whereas statin use (HR: 0.49) and body mass index ≥30 (HR: 0.58) were
associated with a reduced risk.
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Cardiovascular diseases traditional_and_non-tradit
This document reviews traditional and non-traditional risk factors for cardiovascular disease. It discusses how hypertension, diabetes, high total cholesterol, high LDL cholesterol, high triglycerides, and low HDL cholesterol are traditional risk factors. It also examines non-traditional markers like homocysteine, plasminogen activator inhibitor-1, fibrinogen, and various inflammatory markers that may help predict cardiovascular risk. While many non-traditional markers show promise, most are not routinely used in clinical practice and their predictive value requires further confirmation.
Blood Pressure Management in Cardiovascular Protection by DR Nasir Uddin.pptx
High Blood pressure has multiple adverse reaction on different body system and its proper management causes beneficial effect in multiple co morbid condition.
Coronary artery disease –epidemiology and risk factors
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Health,Wellnessand Recovery082109 Presentation
The document discusses improving physical health and wellness as part of mental health recovery for those with serious mental illness. It finds high rates of preventable medical conditions and early death due to a lack of prevention and integrated care addressing both physical and mental health needs. The document recommends designating this population as high-risk, establishing coordinated mental health and physical health care as a priority nationally and in states, and requiring mental health providers to screen for and treat medical issues through integrated care models.
Coronary Artery Disease in Women
- A 65-year-old female presented to the emergency room with sudden onset of chest pain, pressure, nausea, vomiting, shortness of breath, and lightheadedness.
- Her medical history included hypertension, diabetes, and hyperlipidemia. Diagnostic tests found elevated cardiac enzymes and EKG changes consistent with a heart attack.
- She was started on medications and transferred for further treatment, where imaging found apical ballooning syndrome, also known as stress-induced cardiomyopathy or "broken heart syndrome". This occurs when emotional or physical stress causes transient left ventricular dysfunction mimicking a heart attack.
Epide.of cvd
The document discusses public health issues related to cardiovascular disease, including the major types of CVD, risk factors, epidemiology, and trends. CVD is a leading cause of death globally and is influenced by factors like age, gender, ethnicity, geography, and lifestyle behaviors. The document examines descriptive and analytic epidemiology approaches to understanding CVD occurrence, distribution, and relationships to risk factors.
Stroke epidemiology
Hypertension is the leading modifiable risk factor for stroke globally. Stroke is a major cause of death and disability worldwide, with low and middle income countries like those in Africa having the highest burden. While prevention through control of risk factors like hypertension is critical, many resource-limited areas lack adequate acute stroke care and rehabilitation services.
Stroke epidemiology
Hypertension is the leading modifiable risk factor for stroke globally. Stroke is a major cause of death and disability worldwide, with low and middle income countries like those in Africa having the highest burden. While prevention through control of risk factors like hypertension is critical, many resource-limited areas lack adequate acute stroke care and rehabilitation services.
untreated Schizophrenia; the silent killer
Patients with schizophrenia have a substantially higher risk of all-cause mortality than the general population, with a risk ratio of 2.4. Comorbidities like cardiovascular disease, diabetes, and respiratory illness as well as suicide attempts are associated with increased mortality for schizophrenia patients compared to controls. Preventing and managing metabolic disorders, cardiovascular risks, diabetes, smoking, and obesity through treatment guidelines can help lower mortality risk, but these guidelines remain underutilized for schizophrenia patients. It is important for clinicians to regularly assess schizophrenia patients for suicidal thoughts, depression, medication side effects, and risk factors and utilize medications like clozapine that are approved for suicide prevention when indicated.
Luisetto m, luca c, f. a. khan, g. r. mashori. sudden heart pathology a new r...
Luisetto m, luca c, f. a. khan, g. r. mashori. sudden heart pathology a new r...M. Luisetto Pharm.D.Spec. Pharmacology
The document proposes a new research hypothesis to better understand sudden heart pathology through innovative diagnostic methods. It suggests testing the heart's biochemical-metabolic status or pharmacological profile under normal and stressed conditions locally in the heart tissue, rather than just plasma, to help prevent unexpected cardiac events. While many diagnostic strategies currently exist, about 20% of sudden cardiac deaths still lack an identified abnormality. The authors believe new tests analyzing the heart's local performance under varying physiological stresses could provide more useful information to clarify pathological causes, especially in young patients where atherosclerosis is less common. This approach may help explain cases of sudden cardiac arrest in untrained individuals during vigorous exertion.CoronaryArteryDisease.ppt
This document discusses coronary artery disease (CAD), including its epidemiology, risk factors, pathogenesis, clinical manifestations, and prevention. Some key points:
- CAD is caused by atherosclerosis and is the leading cause of death worldwide. It can affect the coronary, cerebral, and peripheral vasculature.
- Risk factors include age, male sex, dyslipidemia, diabetes, hypertension, smoking, and family history. Multiple risk factors act synergistically to greatly increase risk.
- Pathogenesis involves lipid accumulation in arteries, inflammation, and plaque formation over many years. Ruptured plaques can cause complete blockages leading to heart attacks.
- Clinical manifestations range from stable angina to acute coronary
CoronaryArteryDisease.ppt
This document discusses coronary artery disease (CAD), including its epidemiology, risk factors, pathogenesis, clinical manifestations, and prevention. Some key points:
- CAD is the leading cause of death worldwide. Risk factors include age, male sex, dyslipidemia, diabetes, hypertension, smoking, and family history.
- Atherosclerosis is caused by the accumulation of lipids and immune cells in the artery wall over many years. It can lead to stenosis or aneurysm formation.
- Clinical manifestations range from asymptomatic ischemia to chronic stable angina to acute coronary syndromes like myocardial infarction and unstable angina.
- Prevention focuses on controlling modifiable risk factors like smoking, diet, exercise, and treating
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A Study on Food Habits and Social Habits as Risk Factors among Patients Under...
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Non st elevation myocardial infarction and unstable angina
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Atherothrombotic Disease, Traditional Risk Factors, and 4-Year Mortality in a...
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Cardiovascular diseases traditional_and_non-tradit
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Coronary artery disease –epidemiology and risk factors
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Luisetto m, luca c, f. a. khan, g. r. mashori. sudden heart pathology a new r...
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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Chronic Care Manangement by the Numbers
- 1. Chronic conditions were more prevalent among aged beneficiaries, but depression was more common for disabled Beneficiaries. The most common chronic conditions among Medicare beneficiaries were: High blood pressure (58%), High cholesterol (45%), Heart disease (31%), Arthritis (29%) and Diabetes (28%) Medicare Tracks and Reports on 17 Chronic Conditions Alzheimer’s Disease & Related Dementia Arthritis Asthma Atrial Fibrillation Austism Spectrum Disorders Cancer(Breast, Colorectal, Lung & Prostate) Chronic Kidney Disease Chronic Obstructive Pulmonary Disease Diabetes Heart Failure Hyperlipidemia Hypertension Ischemic Heart Disease Osteoporosis Schizophrenia and Other Psychotic Disorders Stroke Chronic Care Management By the Numbers Multiple Chronic Conditions Grouping 0-1 32% 6+ 14% 4-5 23% 2-3 32% Co-Morbidity Triads Combinations of three chronic conditions among Medicare beneficiaries with at least three of the conditions. There are 680. Dyads Combinations of two chronic conditions among Medicare beneficiaries with at least two of the conditions. There are 136. Source: CHRONIC CONDITIONS AMONG MEDICARE BENEFICIARIES, CHARTBOOK: 2012 EDITION Women were about 1.7X as likely to have arthritis or depression while men were 1.3X more likely to have ischemic heart disease. 2/3 of Medicare beneficiaries had multiple chronic conditions % of Medicare FFS Beneficiaries by Number of Chronic Conditions: 2010 Over 70% of women had 2 or more chronic conditions compared to 65% of men Published by Medical Business Systems Practice Management Software www.iridiumsuite.com