Chronic Care Disease Management
N-CARE CHRONIC DISEASE MANAGEMENT SERVICE
Next-Gen Wellness & Long-Term Living Program
N-Care's Chronic Disease Management (CDM) Program is designed for clients managing long-term conditions such as Diabetes, Hypertension, and Congestive Heart Failure, who require regular, professional oversight but not hospitalization. This program leverages our Next-Gen technology and Network coordination to optimize health, prevent complications, and ensure a high quality of life within the Nurturing environment of the client's home.
1. Core Service Description
The CDM Program shifts the focus from managing illness to promoting lifelong wellness and stability. It is delivered by specialized RNs and includes continuous monitoring and targeted lifestyle education.
Program Components:
|
Component |
N-Care Advantage |
4N Pillar |
|---|---|---|
|
Daily Vitals Monitoring (Next-Gen) |
Nurses conduct daily or weekly scheduled visits focused on collecting precise data: Blood Pressure, Heart Rate, Oxygen Saturation, Weight, and Blood Glucose Levels (for diabetics). This data is automatically recorded and trended in the N-Link app. |
Next-Gen |
|
Clinical Assessment & Trending |
Our Clinical Manager reviews daily data trends. If a reading is outside the pre-set safe parameters, N-Care initiates immediate contact with the family and the primary physician, often preventing an emergency. |
Network |
|
Dietary & Lifestyle Education |
Providing ongoing education on disease-specific nutrition, exercise guidelines, and medication adherence. This Nurturing approach aims to empower the client and family to manage the condition effectively between visits. |
Nurturing |
|
Medication Management |
Organization of complex medication boxes (e.g., insulin pens, cardiac drugs), administration of necessary injections, and ensuring prescription refills are managed proactively to avoid interruption of therapy. |
Noble |
|
Coordination of Care (Network) |
We act as the central hub of the client's healthcare ecosystem, scheduling appointments, liaising with specialists (Cardiologists, Endocrinologists), and communicating lab results to all parties. |
Network |
2. Target Patient Subgroups
-
Diabetic Management: Includes advanced foot care, insulin injection teaching, CGM (Continuous Glucose Monitoring) setup and troubleshooting, and hypo/hyperglycemia emergency protocol training.
-
Cardiac Management: Focuses on fluid balance, edema assessment, daily weight tracking (critical for CHF), education on low-sodium diets, and recognizing signs of cardiac decompensation.
3. Premium Pricing Structure (SAR)
The Chronic Disease Management Program is offered on a monthly subscription model, providing consistent, reliable care and data oversight.
|
Service Frequency & Focus |
Monthly Subscription (SAR) |
Description |
|---|---|---|
|
Basic Monitoring (2x Week) |
1500 SAR |
Two scheduled visits per week (RN) for vital checks, medication setup, and health education. Best for stable conditions. |
|
Intensive Monitoring (5x Week) |
2500 SAR |
Five scheduled visits per week (RN/LPN mix) for daily vital sign collection, medication administration, and hands-on patient education. |
|
CDM Total Package (7x Week) |
3500 SAR |
Daily visits including weekend checks. Comprehensive care, ideal during the initial stabilization period of a newly diagnosed or recently complicated chronic condition. |
|
N-Link Technology Access |
Included |
Access to the client dashboard, real-time data trending, and immediate clinical review of critical data anomalies. |
Note on Pricing: All rates include the necessary professional staff time, documentation, and coordination services. Clients can adjust the frequency of visits monthly based on their stability and the treating physician's recommendations.