The Outpatient Care Management Program in Galveston, Texas, is
an integrated care and disease management model that focuses on
high-risk uninsured, financially eligible UTMB patients with
chronic disease, such as congestive heart failure, diabetes,
coronary artery disease, renal disease, asthma, and others. The
goals of the program are to improve disease management, reduce
complications, provide patients with a primary care provider, and
decrease utilization of acute care services related to chronic
disease.