Chronic Disease Management/ Prevention COPD – Project 4.b.i.i


This project targets Chronic Obstructive Pulmonary Disease (COPD) and how to deliver high-quality preventive care and management to help prevent much of the burden of chronic disease to avoid many related complications. Despite many cost-effective or cost-saving services, many patients do not receive the recommended preventative care and management, including screening tests, counseling, immunizations, or medications used to prevent disease, detect health problems early, and prevent disease progression and complications.

Care Compass Network’s Goals

  • Increase access to quality chronic disease preventative care and management in clinical and community settings.
  • Decrease the number of avoidable complications in Medicaid members and to help lessen the burden of a chronic disease.
  • Provide Medicaid members access to community preventative resources.

Who is Eligible to Participate in the Project?

Any Hospital or Community-based Organization that provides a service(s) to Medicaid members with Care Compass Network’s nine-county region.

Latest News & Updates

Improving Disease Management: Project 3bi and 4bii Updates – November 7, 2018

Project 3bi – Cardiovascular Disease Management and Project 4bii – Chronic Disease Management/ Prevention COPD both work to improve disease management for patients through self-management. The projects are interconnected in a number of ways as patients with chronic obstructive pulmonary disease (COPD) have a higher incidence of and mortality from cardiovascular disease. See how several partner organizations are working to improve the quality of life of those with cardiovascular disease and/or a chronic illness. […] Read More

Important Notice – Quarterly Reporting due by October 25th – October 18, 2017

For Partners Contracted to do Project Work: With the first 6 months of DSRIP Year 3 complete, CCN must submit the patient engagement reporting data to the DSRIP Independent Assessor in order to earn performance dollars tied to speed and scale. If you have not submitted your date for April 1st – September 30th 2017, please submit your activity by October 25th. All speed and scale reports or any document (could include a screenshot, email, word document, excel file, etc) that includes PHI should be submitted via the sFTP site. For additional information on the sFTP site, please click here to view the CCN sFTP Guide.

Care Compass Network Supports Partner Organizations Through IT Funding Opportunities – August 24, 2017

Care Compass Network (CCN) can help support partner organizations through approved IT funding opportunities. Currently, programs are in place to assist partners with new implementations of EMR/ EHR systems and to provide funding to accommodate […] Read More