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Tracking care across the continuum for congestive heart failure patients: Evanston/Northwestern Healthcare's provider-driven disease management program for CHF patients crosses the boundaries of inpatient, outpatient, and home care. But that requires the savvy manipulation of data to ensure patients are tracked efficiently and resources are used appropriately. Here's how the program works.
埃文斯顿/西北医疗集团针对充血性心力衰竭患者开展的由医疗服务提供者主导的疾病管理项目跨越了住院、门诊和家庭护理的界限。但这需要巧妙地处理数据，以确保有效地跟踪患者并合理使用资源。该项目的运作方式如下。
