This program offers assessment, treatment, and follow up by a team of health care professionals for patients with a chronic disease.
Patients may be referred to the program by their family physician, home care nurse or by the Urgent Care Centre.
The Complex Care/Chronic Disease Management provides care to patients with the following chronic diseases:
- Diabetes
- Coronary artery disease
- Congestive heart failure
- Asthma
- Chronic obstructive pulmonary disease
Health care professionals work in various physicians’ offices and clinics to optimize the health and well being of people living with chronic disease. Team members throughout the various communities may include:
- Nurse
- Pharmacist
- Dietitian
- Social Worker
- Occupational Therapy
- Physiotherapy
The number of team members that work with a patient will depend on the medical condition(s) and needs. Professionals also help with navigation to other programs and care levels as well as connect complex unattached patients to programs and physicians. Team members are affiliated with the Alberta Health Services Chronic Disease Management Program for the Calgary Zone.