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What Is Chronic Disease Management?

For generations, Stillwater Hospice has cared for people with illnesses in their homes. That care continues today with our Chronic Disease Management program. Our skilled nurses, home health aides and specialized physical, occupational and speech therapists ensure patients’ safety and comfort as they recover from illness.

With our Chronic Disease Management program, families can rest assured, knowing that every team member is fully trained in the latest in medical care. We coordinate with each patient’s physicians to design an individualized plan of care to ensure the highest quality of life. Our goal is to help patients stay out of the hospital and in the comfort of their own homes.

Stillwater Hospice provides Chronic Disease Management in residential settings, as well as assisted and independent living communities. We work collaboratively with facility staff to ensure patients receive coordinated care.

Chronic Disease Management Services:

  • Cardiac care
  • Stroke care
  • Post-cancer surgery
  • IV antibiotics
  • Infusions and injections
  • Chronic disease education
  • Wounds with specialty dressings
  • Education for new implanted and drainage medical devices
  • Skilled nursing for pediatrics

Chronic Disease Management is usually covered under Medicare and many insurance plans. We’ll be glad to verify your benefits, coordinate coverage and complete the billing process for you.

What Is “Homebound”?

To receive Chronic Disease Management a patient must be “homebound.” There are several myths associated with the term “homebound.” Patients are allowed to leave home for medical reasons, to attend doctor appointments and to receive some outpatient services.

Occasional absences from the home for nonmedical reasons such as a trip to the hair salon, for worship services, a special family celebration or an unexpected event does not disqualify the person from receiving Chronic Disease Management care as long as the absences are infrequent, for a short duration and it is a difficult and taxing effort.

Examples of Services Provided:

Skilled Nursing

to coordinate your care team and provide for your nursing needs

Physical, Occupational & Speech Therapy

to assist you with regaining your strength and reaching your maximum functional potential

Home Health Aides

to provide assistance with grooming, bathing and self-care

Social Workers

to assist with providing emotional and social support to help you recover from your illness


to teach you how to best care for yourself and meet your health needs