City-County Health District
Chronic Disease Management (CDM)

MISSION

Empower and educate individuals so they can better manage their disease and communicate more effectively with their providers ultimately improving quality of life while decreasing health care costs.

Who Qualifies?

Primarily age 50 & older

Willing to participate fully

Live in Stutsman, Logan, or Barnes County

Those with or without health insurance

Chronic Medical Condition (listed below)

  • Heart Failure

  • Diabetes Type II

  • Asthma

  • Chronic Obstructive Pulmonary Disease (COPD)

  • Hypertension

  • Alzheimers
  • Demenita

Services Available

  • Certified Chronic Disease Managers

  • Nursing Visits

    • Assessments

    • Goal setting

    • Prevention and Education

    • Refer as appropriate

    • Foot Care

    • Medication Set Up

    • Assure up to date vaccination status

  • Certified Nursing Assistants (Barnes Co.)

    • Bathing Assistance

    • Assist with exercise regimen

  • Personal Health Journal

  • Transportation Assistance

  • Nutrition Services

  • Coordination with Primary & Specialty Providers

  • Services provided in client’s home or in the local public health office

Client and Provider Benefits

  • Empower clients to better self-manage their health and improve their communication with providers

  • Better management of symptoms

  • Decrease hospitalizations and ER visits

  • Convenient

  • Improved quality of life

  • Healthier lifestyle

  • Decrease Health Care Spending