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 at risk of chronic disease or who have been diagnosed with one or more specified chronic diseases
This programme is for patients who have a medical card or GP visit 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)
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-02-2023. 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.
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)
What patients qualify under each of the programmes?
Different patients, determined by age, qualify for different components of the programme.
- 2022 = CDM Programme rolled out to include all people aged 18yrs and over.
- 2022 = Opportunistic Case Finding (OCF) and Prevention Programme (PP) for people aged 65 years and over.
- 2023 = Final OCF and PP rolled out to include people aged 45 years and over.
CDM Phasing Table
| Programme |
2020 |
2021 |
2022 |
2023 |
2024 |
Chronic
Disease
Treatment
Programme |
Age
70 and
over |
Age
65 and
over |
All
adults
age
18 and
over |
Programme
continues |
Programme
continues |
Opportunistic
Case Finding
Programme (OCF) |
- |
- |
Age
65 and
over |
Age
45 and
over |
Programme
continues |
Annual CDM
Prevention
Programme (PP) |
- |
- |
Age
65 and
over |
Age
45 and
over |
Programme
continues |
