It can be a challenge to be proactive while managing a large number of patients with chronic diseases such as asthma, depression, diabetes, congestive heart failure, hypertension and kidney disease. These patients require additional resources and time, beyond regular office visits, to focus on prevention and maintain optimal patient outcomes. They can require significant encounter documentation, not to mention regular, routine and repetitive lab work and visits to other practitioners.

Wolf Chronic Disease Management, together with Wolf Practice Search, simplifies the management of patients with chronic diseases, resulting in better patient outcomes and more proactive scheduling of follow-up visits and tests for these patients. Wolf CDM makes it less burdensome to provide high-quality guideline-based care to patients by providing detailed disease-specific templates and easy-to-use Practice Search capabilities to help you understand your patient base and focus on prevention in the monitoring of these patients. Wolf’s CDM templates structure the SOAP form around the medical history and current disease-specific care protocols. It’s easy to create encounter notes, review lab results and medications, and prepare detailed medical summaries and medication lists when required. Physicians can also access additional disease-specific information on the Internet and produce detailed patient hand-outs to help with prevention and self-care. Key questions and responses during the patient encounter can be recorded with a few clicks, and forms contain reminders to ensure care objectives are being met. For example, the Diabetes template contains HbA1c and lipid profiles, as well as quick access to previously recorded values for weight gain, blood pressure, and physical symptoms such as eye exams.

Wolf CDM also helps busy physicians move to a ‘recall-base’ model, setting up rules to create letters or prompt for phone calls to patients who have missed recommended screenings, require medication monitoring or prescription refills, or simply to call in at-risk patients for a follow-up appointment. Wolf makes billing and fulfilling provincial CDM program recommendations efficient; patient flow sheet data can be automatically transmitted to health regions in provinces across Canada, minimizing data re-entry; Wolf Billing is completely integrated, so clinics can bill immediately for all incentive payments associated with regular and proactive patient management.

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