Health Services
# of Chronic Care Patients
Current Value
1,003
Definition
Story Behind the Curve
This performance measure reports the number of current patients who are under chronic care. Chronic care is medical care that addresses pre-existing or long-term illness.
Chronic diseases and other special needs include but are not limited to asthma, diabetes, HIV, hyperlipidemia, hypertension, mood disorders, psychotic disorders, and substance use disorders. Patients with chronic disease, other significant health conditions and disabilities receive ongoing multidisciplinary care aligned with evidence-based standards and clinical guidelines. These patients are managed through chronic care clinical pathways to ensure comprehensive care, timely follow up and symptom management.
The top five chronic diseases for the VT in-state corrections population are:
- Opioid Use Disorder (OUD)
- Gastrointestinal
- Respiratory
- Musculoskeletal
- Hypertension
These reflect the top 5 medical chronic diseases only.
The average number of chronic care patients for FY23 (July 2022-June 2023) was 1,024 (low: 993, high: 1,065), which was slightly higher than the FY22 average.
Partners
The DOC partners with a Health Services Contractor to perform the work indicated on this performance measure. Currently, the health services data are provided through the Electronic Health Record (EHR) Correctek.
What Works
Action Plan
Clear Impact Suite is an easy-to-use, web-based software platform that helps your staff collaborate with external stakeholders and community partners by utilizing the combination of data collection, performance reporting, and program planning.