Because progressive chronic disease has a profound impact on patients and their families, is very expensive to manage, is widespread and predicted to increase substantially, developing effective disease management programs are essential to improve outcomes and reduce healthcare related costs. The number of patients being diagnosed with at least one chronic disease on the rise without signs of decreasing in the near future. Patients diagnosed with chronic disease are faced with incredible, often debilitating, challenges in regards to activities of daily living. Fragmented care focused on primary reason for the office visit, without regard to the multiple comorbid conditions, puts patients at high risk for poor quality outcomes. Frequent physician
