Cardiovascular Disease Management Program

Our Approach

In order to carefully monitor and effectively treat patients with cardiac conditions and stroke, we believe it equally important to support the patients, physicians, and insurers alike. Our innovative Cardiovascular Disease and Case Management Program combines information technology with hands-on patient care. The key is to ensure patients receive proactive intervention and treatment. We partner with a variety of healthcare plans and physicians to accomplish common goals—early identification and prevention of cardiovascular events, optimization of medical therapy and ultimately improving clinical outcomes by decreasing the risk of heart attack, stroke, and other cardiovascular events.

The QMed approach facilitates:

• Accurate patient identification: Our powerful and proprietary predictive modeling tools accurately identify patients with cardiovascular disease and its co-morbidities.
• Rapid enrollment: We quickly enroll these patients into the program for primary and secondary prevention. Importantly, our comprehensive review proccess includes the use of patient-specific abstracted chart data, producing electronic medical records for improved healthcare delivery.
• Risk Stratification: Sophisticated analytics stratify members into low, moderate, and high-risk groups for targeted intervention, empowering physicians with recommendations linked to the plan formulary.
• Ongoing surveillance: A continuous record of each patient's evaluations and automatic reminders for future evaluations are just some of the examples of our continuum of care to improve overall health.

The QMed Advantage—Engaging Physicians. Empowering Patients.

Our Cardiovascular Disease Management Program is all-encompassing and collaborative. We are committed to delivering clinical care services built on our multi-faceted approach, designed with both the patient and physician in mind. Using our superior healthcare information systems, we provide physicians with patient-specific, evidence-based recommendations. Our data is gathered from the most comprehensive array of sources—including information from patient charts. We ensure physicians have the best information with which to make appropriate treatment decisions, to improve patient health, and reduce episodes.

Each patient receives educational materials, and personal services and tools, based on their specific needs. A skilled Care Manager is assigned to each patient to provide the guidance and support that cardiovascular patients need. Care Managers are the experienced, resourceful professionals who help patients set goals and achieve them.

Our Cardiovascular Disease and Case Management Program utilizes a patented technology application, called Monitor One STRx®, for moderate and high-risk coronary artery disease patients. This portable, non-invasive technology quantifies the probable risk of an untoward event and generates medical recommendations for the physician based on national guidelines.

Eligibility Requirements

To be eligible for program participation, patients must have a defined history of CVD including:

• Prior Heart Attack (MI)
• Prior Chest Pain (Angina)
• Prior Percutaneous Coronary Intervention, otherwise known as Angioplasty (PCI)
• Prior Coronary Artery Bypass Graft, otherwise known as Open Heart Bypass Surgery (CABG)
• Prior Stroke
• Prior Transient Ischemic Attack (TIA)
• Post Carotid Endarterectomy (CEA)

Program Benefits

We support physicians by providing individualized recommendations for optimally managing CVD patients based on National Guidelines.

• We conduct regular chart reviews on appropriate patients to gather all pertinent information and to assess severity and other co-morbidities.
• All data from this evaluation is entered into our database, which utilizes stratification analysis to automatically stratify patients and generate evidence-based recommendations within 24 hours.
• When trends indicate a change in a patient's health status, the treating physician is notified and the patient can be assessed before expensive emergency room or hospital care is required.
• We recommend medications based on national guidelines for blood pressure, lipid and platelet management.
• We provide physicians with patient progress updates.
• We design programs to ensure minimal impact on the physicians' daily workflow.

We educate patients on warning signs and symptoms:

• We inform patients about medications, tests, and exams important to their health.
• We provide patient wallet cards to help track blood pressure, lab tests, and exams.
• We keep patients informed with quarterly newsletters.
• We alert patients with reminders for tests, lab work, and vaccinations.

Program Outcomes

Our Cardiovascular Disease Management Program outcomes are proven and measurable:

• Participation

• Physicians - 7,000 nationwide (75% average
   participation rate)
• Patients - greater than 200,000 nationwide


• Compliance—evidence-based medicine adoption by physicians:

• 89% acceptance of Blood Pressure recommendations
• 72% acceptance of Lipid recommendations
• 82% agree to initiate or increase an ACE Inhibitor
• 79% agree to initiate or increase a Beta Blocker
• 88% agree to initiate Antithrombotics


• Satisfaction

• Physician overall satisfaction - 82%
• Patient satisfaction - 81%
• Financial savings of 20% or more with routine
   return on investment (ROI) of greater than 2:1