Disease Management and Early Intervention

You get more help in the Kelsey-Seybold Greater Houston Plan. Our Population Health Navigation Model is a physician-led team of multidisciplinary healthcare providers. The entire team is focused on continuous improvement of health outcomes for patients who are considered non-compliant, high-risk, or patients with two or more ER visits within a 60-day period or three or more hospital admissions within the last year.

Kelsey-Seybold's Disease Management program tracks clinical progress of patients with the help of the electronic medical record (EMR) system and an automation process that monitors health outcomes for:

• Asthma/COPD
• Congestive Heart Failure
• Diabetes
• Hyperlipidemia
• Hypertension

If you're dealing with a chronic or serious illness, the Kelsey-Seybold Greater Houston Plan delivers the care coordination you need.