Guided care: a structured approach to providing comprehensive primary care for complex patients
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Case study. Care models for high-need, high-cost patients
- Author(s):
- Hostetter, Martha, author Klein, Sarah, author McCarthy, Douglas, author Hayes, Susan L., author
- Contributor(s):
- Commonwealth Fund, issuing body.
- Publication:
- [New York, N.Y.] : Commonwealth Fund, October 2016
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Community Health Services Medicare Multiple Chronic Conditions -- therapy Patient Care Management Primary Health Care -- methods Emergency Service, Hospital -- utilization Hospitalization Nursing Care Randomized Controlled Trials as Topic Humans Massachusetts United States Wisconsin
- Genre(s):
- Technical Report
- Abstract:
- KEY FEATURE. Specially trained nurses create care plans, educate and support patients and their caregivers, and coordinate care among providers, using formal assessment and planning tools to set priorities for stabilizing health and achieving patients' goals. TARGET POPULATION. Adults at risk of complications from multiple chronic conditions. WHY IT'S IMPORTANT. Medicare beneficiaries with multiple chronic conditions account for the majority of program spending; many feel overwhelmed by their treatment regimens and suffer when their care is not well coordinated. BENEFITS. Promotes patients' ability to manage their conditions and helps them navigate the health care system. Lahey Health in Massachusetts credits Guided Care with helping it achieve a 22 percent reduction in hospital admissions per thousand, leading to shared savings in an accountable care contract with Medicare. LESSONS. In chronic care management programs such as this, it is difficult to determine what level of support (and therefore what program investment) is most effective; different patients may need different levels of support.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (11 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101719364 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101719364