Care Management Plus: strengthening primary care for patients with multiple chronic conditions
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Case study. Care models for high-need, high-cost patients
- Author(s):
- Hayes, Susan, author McCarthy, Douglas, author
- Contributor(s):
- Commonwealth Fund, issuing body.
- Publication:
- [New York, N.Y.] : Commonwealth Fund, December 2016
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Multiple Chronic Conditions -- therapy Patient Care Management Primary Health Care Electronic Health Records Health Services for the Aged Inservice Training Insurance, Health, Reimbursement Humans United States
- Genre(s):
- Technical Report
- Abstract:
- KEY FEATURE. A care manager, embedded in a primary care practice and supported by specialized information technology tools, works with patients who have complex needs to develop and implement plans for care; coaches patients and their caregivers in self-management skills; and provides referrals to community-based resources. TARGET POPULATION. Patients with multiple chronic diseases who are often older or have behavioral health and social needs, and who are at high risk for poor health outcomes. WHY IT'S IMPORTANT. These patients, who must manage a complex constellation of needs, require greater support than is typically offered by current primary care arrangements. RESULTS AND BENEFITS. Potentially better health outcomes and quality of life for the patient; lower utilization of health care services and reduced costs for the health care system; and increases in provider productivity. CHALLENGES. Sustaining financing through increases in provider productivity over time, particularly for practices working under fee-for-service reimbursement.
- 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 (13 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101719384 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101719384