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Chronic Care Management

By blending case, disease, and lifestyle management, we guarantee a more robust and measurable ROI than traditional programs.

The Cost of Chronic Conditions is too High.

Chronic diseases are among the greatest health threats Americans face today. According to the Partnership to Fight Chronic Disease, more than 133 million Americans, or 45% of the population, have at least one chronic condition such as: 

  • COPD
  • Depression
  • Diabetes
  • Heart disease
  • High cholesterol
  • Hypertension
  • Lung conditions 

The Cost to America Today is Devastating, from Providers to Patients.

  • Managing and treating cardiovascular diseases results in 79+ million doctor visits yearly
    • Heart disease will increase by more than 40% in the coming years
    • Almost 1 in 3 adults, or 31.3%, have high blood pressure
    • An estimated 935,000 heart attacks and 795,000 strokes occur each year
    • Cost of high blood pressure: $76.6 billion in services, medications, and missed work
  • Total costs of diabetes: $174 billion
    • Direct medical costs: $116 billion
    • Indirect costs (disability, work loss, and premature death): $58 billion
    • If current trends continue, 1 in 3 will develop diabetes and lose an average of 10-15 years of life  
    • Treatment costs for diabetes patients is about 2.3 times higher than for those without the disease
  • Obesity is a leading cause of chronic conditions; one in every 3 adults is obese: almost 1 in 5 youths between the ages of 6 and 19 are obese
  • 17.5 million adults have asthma
  • About 25% of chronic conditions have one or more daily activity limitations
  • By 2023, cancer, diabetes, and mental disorders will more than double without lifestyle changes 

KEPRO is Ensuring More Productive Lives at Lower Costs. 

KEPRO Chronic Care Management combats disease, reduces treatment costs, and helps your population live healthier, more productive lives. By blending case, disease, and lifestyle management approaches that change unhealthy member behaviors, we deliver a more measurable return on investment (ROI) than you get from traditional disease management programs. We use behavior change principles, educational tools and information, and registered nurse (RN) case manager coaching support to get chronic conditions under control. 

We Carefully Assess the Health Status of Members After Recruitment.

RN case managers determine each member’s general and condition-specific health, and concerns related to all co-morbidities. We also incorporate the SF12 and the PHQ9 to assess each member’s general quality of life and behavioral health status. A case manager works with each member to create a plan of care based on the results of all assessments. We prioritize problems and goals based on the severity of the issues and each member’s readiness to change unhealthy behaviors. 

KEPRO Improves Patient/Physician Communication.

In typical disease management programs, case managers work directly with members, with little to no interaction with the treating physicians. We empower members to work more collaboratively with their physicians and take control of their health. At the same time, we work in conjunction with the physician, as an extension of their team, to assist members in meeting their health goals. 

Individualized Interventions Focus on Specific Needs.

Interventions are dictated by the number and severity of identified member issues, readiness to change, and availability. We focus intensely on improving the health of your members and boosting your ROI on a number of fronts by: 

  • Increasing health literacy
  • Assisting each member to develop a customized and effective self-management plan
  • Helping each member to adopt a healthier lifestyle
  • Assisting all members in removing barriers to compliance with prescribed treatment plans

KEPRO Improves Outcomes and Lowers Your Costs.

We report financial savings based on: 

  • Decreased office visits or use of services
  • Decreased hospital admissions and readmissions
  • Member compliance with a prescribed medical plan
  • Member ability to maximize activity and mental outlook
  • Reduction of exacerbations related to complications 

We also report condition-specific clinical outcomes, demonstrating the positive impact we can have on your members’ quality of life. In fact, we have increased compliance with prescribed treatment plans by 60% and the number of members with effective self-management plans by 75%. And we encourage each member who has graduated from our program to complete a satisfaction survey. We think it’s important that our members monitor us, too to guarantee that their experience lives up to our standards.

Find an Answer

Please describe KEPRO data security that ensures member information is protected.

As an organization that is charged with storing and transferring Protected Health Information (PHI), KEPRO is bound by HIPAA regulations, and is accustomed to managing the security and privacy of PHI. KEPRO currently exchanges data successfully and confidentially via secure encrypted means in support of all of our federal, state, and local government programs, and with commercial clients.

KEPRO has been implementing and supporting systems that require medical record, data security, and transmission for more than a quarter of a century, and has always placed primary importance on using systems that allow for fast and efficient connectivity, while still providing the highest level of data and system security. Our proven internal and external policies and protocols ensure compliance with state and federal laws and regulations, as well as any additional security measures you may require.

We have a stringent KEPRO Comprehensive Confidentiality Plan that governs our processes. KEPRO’s Privacy Officer, Security Officer, and the Compliance Officer have ultimate responsibility for oversight of the processes and procedures contained in the KEPRO Comprehensive Confidentiality Plan.

KEPRO's system is secure. Our information systems are secured by an in-depth strategy that utilizes multiple layers of operational, management, and technical controls to protect KEPRO assets. We also employ software programs designed to prevent unauthorized use by staff or outside entities.

All KEPRO information systems employ common security controls such as Firewalls, Anti-virus, Role Based Access, FIPS 140-2 Encryption for mobile devices, and the requirement of strong passwords. Information system users are assigned a security role based upon access requirements relevant to their positions and information/program privileges.

The HIPAA Security Rule requires entities to implement information systems that control access to healthcare and related systems. KEPRO adopts a subset of NIST 800-53 Rev 3 Security controls to maintain compliance with HIPAA. Based on these security standards, KEPRO mitigates risk to its Information system by focusing on such controls as:

  • Log-In Security. HIPAA security requires the use of secure User IDs and the use of passwords. KEPRO requires multiple account authentication processes within its information systems to verify the identities of our end-users. KEPRO's policy requires strong passwords that are changed frequently.
  • Access Control. HIPAA requires one of the following: Context Based Access, Role Based Access, or User Based Access. User Based Access is part of the Log-In Security component. KEPRO's Role Based Access gives individual users access relevant to their function in the organization.
  • Audit Trail. HIPAA requires the use of an audit trail to identify who accesses PHI. KEPRO systems track those who change the patient record, the date and time the record was modified, and the specific information changed. The system includes a read only audit trail that captures each time a system user views a case.
  • Session Time-out. KEPRO information systems account for session inactivity by locking screens after 10 minutes of inactivity.
  • KEPRO's physical space is secure. KEPRO’s computer, telephone, and hardware systems are located in climate controlled rooms with fire-suppression and electronic locking system. We allow only authorized access to the room.
  • KEPRO focuses training on confidentiality and security issues. All KEPRO employees undergo rigorous training on security and confidentiality of PHI. We have successfully provided this training to all staff regardless of their respective roles/duties.

KEPRO Headquarters

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777 East Park Drive, Harrisburg, PA 17111
Toll-free: 800.222.0771
Phone: 717.564.8288
Fax: 717.564.3862