Download Chronic Disease Management Programme

CHAPTER ONE: The Chronic Disease Management Programme (CDMP)
INTRODUCTION
This handbook provides an update on one of the key programmes from the
Ministry of Health (MOH) to better manage chronic conditions in the community –
the Chronic Disease Management Programme (CDMP). The handbook is organized
into three sections:
a)
Section 1 (Chapter One) provides an updated overview, summarizing
the key past and recent changes relevant to the CDMP;
b)
Section 2 (Chapter Two) provides a disease-by-disease guide on the
respective clinical indicators, indications for referral, and diseasespecific claimable and non-claimable items;
c)
Section 3 (Chapters Three to Six) provides a one-stop reference for
administrative matters related to the CDMP;
Overview-Update
1
Method of Payment
Medisave for CDMP
Medisave
CHAS
Subsidy
(for eligible persons)
Disease Coverage
- Acute
Not applicable to acute
conditions
All acute conditions Except
for non-ISP screening tests,
aesthetic
and
lifestyle
treatments
(Applicable only to Blue Health Assist
cardholders)
-
Chronic
Claims/Data
Submission Portal
15 identified chronic conditions claimable under either or
both schemes
Mediclaim
eCHAS
* When claims are made for both Medisave for CDMP and CHAS, clinical
indicators only need to be submitted once through either Mediclaim or eCHAS.
1.1
The Chronic Disease Management Programme (CDMP) forms the clinical core
of the management of patients with chronic conditions in the community. It includes:
(a) evidence-based, structured Disease Management Programmes1 (DMPs), where
applicable and (b) option for patients to either tap on subsidy (e.g. CHAS) or draw on
their Medisave to help reduce out-of-pocket payments for outpatient treatment
1
Components of disease management include: (a) population identification process; (b) evidencebased practice guidelines; (c) Collaborative practice models to include physician and support-service
providers; (d) Patient self-management education; (e) Process and outcome measurement, evaluation,
and management; (f) Routine reporting/feedback loop