New Jersey Visiting Nurse Association Uses Web to Help Elderly Manage Chronic Health Conditions from Home

Demonstration of a Web-based disease management model for elder home care

CentraState Healthcare System, the Visiting Nurse Association of Central Jersey and the Monmouth County Office on Aging developed and tested a Web-based disease-management service for older adults in Monmouth County, N.J., with diabetes, congestive heart failure and/or obesity who needed home care services.

The project was part of the Robert Wood Johnson Foundation (RWJF) New Jersey Health Initiatives (for more information see Program Results), a statewide grantmaking program created to improve health care for New Jersey residents through innovative, community-based health services.

Key Results: Among the 17 patients who completed the project:

  • Participants improved their self-monitoring skills. All participants reviewed their vital signs at least once a day.
  • Participants enhanced their self-care knowledge. All participants scored 90 percent or better on key tests about their conditions and proper self-care.
  • Participants had 35 percent fewer hospital stays for congestive heart failure and diabetes during the project than in the three prior years.