The present invention generally relates to the field of medical services and more specifically to the area of
chronic disease management. It comprises a new method for providing a
disease management service which utilizes nurse practitioners to engage in regularly scheduled virtual evaluation and management “
office visits” with patients, using off-the-shelf videophones for real-time video and audio communications. As these
disease management services are delivered to the patient while he remains in his home, such convenient access to professional health care brings about a much closer monitoring of the patient's condition than would be otherwise practical, enabling clinicians to make necessary therapeutic modifications in a timely fashion. Engaging patients in such regularly scheduled
office visits also causes increased compliance with recommended regimens and lifestyle modifications, resulting in overall improved management of the patient's
chronic condition. Patients are enrolled into the service primarily through referrals from their primary care physicians who sign a
Collaboration Agreement with the
chronic disease management service. The
Collaboration Agreement extends the continuity of care for enrolled patients by keeping the
primary care physician informed at all times on the health status of their patients and involved in all important clinical decisions regarding patients referred to the service. The secure Internet-accessible clinical
documentation and information systems used in the disclosed method make possible a multi-office practice were information can be seamlessly shared and patient workloads can be distributed across multiple locations. Clinical office visit services provided under the disclosed method qualify for reimbursement by public insurers and many private insurers. The disclosed method represents a novel form of
medical practice whose area of operation and potential
patient base is unbounded by geographic location, since patients may engage in
virtual office visits while remaining in their homes, and the
information technology infrastructure utilized allows the disclosed
disease management service to deliver
medical care from any location that has phone service and an Internet or
network connection available.