Chronic Disease Management | Mandala Clinic Emerald
Medical Service

Chronic Disease Management

Ongoing care and comprehensive support for patients living with chronic conditions. We develop personalized treatment plans with regular monitoring to help you manage your condition effectively and maintain quality of life.

Living with a chronic condition requires ongoing attention, consistent management, and a healthcare partner who understands your unique needs. Our chronic disease management program is designed to provide comprehensive, coordinated care for patients with conditions such as diabetes, COPD, asthma, arthritis, and kidney disease. We take a holistic approach that addresses not just your medical needs, but also your lifestyle, emotional wellbeing, and quality of life.

Each patient receives a personalized care plan developed in collaboration with your doctor. This plan outlines your treatment goals, medication regimens, monitoring schedules, and strategies for managing your condition day-to-day. We coordinate with specialists, allied health professionals, and other members of your healthcare team to ensure seamless, integrated care. Regular review appointments allow us to track your progress, adjust treatments as needed, and address any concerns promptly.

Our goal is to help you live well with your chronic condition. We provide education about your condition, self-management strategies, and support to help you stay motivated and engaged in your care. We also make use of Medicare chronic disease management programs, which can provide access to allied health services such as dietitians, exercise physiologists, and diabetes educators at reduced or no cost to you.

Best For

  • Diabetes management
  • Respiratory conditions (COPD, asthma)
  • Arthritis care
  • Kidney disease monitoring
  • Multiple chronic conditions

Includes

  • Comprehensive health assessment
  • Personalized care plan development
  • Regular health monitoring
  • Medication reviews
  • Specialist referrals when needed
  • Allied health coordination

Quick Facts

Duration

45-60 minutes initial

Frequency

Monthly or as needed

Billing

Medicare CDM programs available

Preparation

List of current medications and symptoms