The Structured Chronic Disease Management (CDM) Programme aims to prevent and manage patient chronic diseases using a population-approach. It helps you identify and manage GMS and GP visit card patients and HAA cardholders at risk of chronic disease or who have been diagnosed with one or more specified chronic diseases.
What are the components to the Structured CDM Programme?
There are three components within the Structured CDM programme:
- Opportunistic Case Finding Programme (OCF)
- Structured Chronic Disease Treatment Programme
- Annual Chronic Disease Management Prevention Programme (PP)
The Opportunistic Case Finding Programme is for patients who have a medical card, GP visit card or Health Amendment Act card and who may have an undiagnosed chronic disease or those at risk of developing one.
The treatment programme is for patients aged 18+ who have a medical card, or GP visit card or Health Amendment Act card and have a diagnosis of one or more of the listed conditions below.
- Type 2 diabetes
- Asthma
- Chronic obstructive pulmonary disease (COPD)
- Cardiovascular disease, including heart failure, heart attack (angina), stroke and irregular heartbeat (atrial fibrillation)
The prevention programme is for:
- adults aged 45+ with a medical card, GP visit card or a Health Amendment Act card at high risk of cardiovascular disease or diabetes
- adults aged 18+ with a medical card, GP visit card or a Health Amendment Act card and diagnosed with hypertension and
- all women (cardholders and non-cardholders) aged 18+ who had Gestational Diabetes or Pre-Eclampsia since 1st January, 2023.
If you wish to provide the Chronic Disease Management Programme, please complete, sign and return this Opt in Confirmation Form.
How do I sign up to provide the Structured CDM Programme?
You will need to do two things:
- Sign up to the new GP Agreement (2019/2023)
- Liaise with your local Primary Care Unit to opt in to the programme by returning the opt-in form available at the link provided in HSE Circular NCO-49-2023. You can find a copy of this circular on the GP Suite.
Each individual GP must opt in to the programme prior to commencing a CDM review, even if the CDM software is already on the GP practice management system.
Every CDM review includes a key date. This key date is the date on which the CDM review is created, not the date you submit it to the HSE. This is important to know because you must opt in to provide the CDM programme prior to commencing the registration of patients and commencing patient reviews to ensure remuneration for such reviews.
