Comprehensive Care Coordination for Chronically Ill Adults (eBook)

Cheryl Schraeder, Paul S. Shelton (Herausgeber)

eBook Download: PDF

2011
John Wiley & Sons (Verlag)
978-0-470-96086-8 (ISBN)

Infos

Breakthroughs in medical science and technology, combined with shifts in lifestyle and demographics, have resulted in a rapid rise in the number of individuals living with one or more chronic illnesses.  Comprehensive Care Coordination for Chronically Ill Adults presents thorough demographics on this growing sector, describes models for change, reviews current literature and examines various outcomes.

Comprehensive Care Coordination for Chronically Ill Adults is divided into two parts.  The first provides thorough discussion and background on theoretical concepts of care, including a complete profile of current demographics and chapters on current models of care, intervention components, evaluation methods, health information technology, financing, and educating an interdisciplinary team.  The second part of the book uses multiple case studies from various settings to illustrate successful comprehensive care coordination in practice.  Nurse, physician and social work leaders in community health, primary care, education and research, and health policy makers will find this book essential among resources to improve care for the chronically ill.

Cheryl Schraeder, RN, Ph.D., FAAN is currently Clinical Associate Professor and also Director of Policy and Practice Initiatives, Institute for Healthcare Innovation, at the College of Nursing at the University of Illinois in Chicago, IL. Dr. Schraeder has been the project director/ principle investigator for governmental health care agencies and private foundation demonstrations and projects with vulnerable populations.

Paul S. Shelton, EdD is currently Senior Research Specialist at the Institute for Healthcare Innovation at the College of Nursing at the University of Illinois in Chicago, IL. Dr. Shelton has extensive experience in working with governmental health care agencies and private foundations in primary care management demonstrations.

Inhalt

Comprehensive Care Coordinationfor Chronically Ill Adults 3
Contents 7
Editors and Contributors 11
Acknowledgments 17
Introduction 19
PART 1 THEORETICAL CONCEPTS 21
1 Chronic illness 23
2 Overview 45
3 Promising practices in acute/primary care 59
4 Promising practices in integrated care 85
5 Intervention components 107
6 Evaluation methods 147
7 Health information technology 161
8 Financing and payment 187
9 Education of the interdisciplinary team 211
PART 2 PROMISING PRACTICES 223
SECTION 1 PRIMARY CARE MODELS 227
10 Coordination of care by guided care interdisciplinary teams 229
11 Care management plus 241
12 Medicare coordinated care 249
SECTION 2 TRANSITIONAL CARE MODELS 281
13 The care transitions intervention 283
14 Enhanced Discharge Planning Program at Rush University Medical Center 297
SECTION 3 INTEGRATED MODELS 311
15 Summa Health System and Area Agency on Aging Geriatric Evaluation Project 313
16 Program of All-Inclusive Care for the Elderly (PACE) 323
SECTION 4 MEDICAID MODELS 335
17 Introduction to Medicaid care management 337
18 The Aetna Integrated Care Management Model: a managed Medicaid paradigm 345
19 King County Care Partners: a community based chronic care management system for Medicaid clients with co-occurring medical, mental, and substance abuse disorders 359
20 Predictive Risk Intelligence SysteM (PRISM): a decision-support tool for coordinating care for complex Medicaid clients 369
21 High-risk patients in a complex health system: coordinating and managing care 381
22 The SoonerCare Health Management Program 391
SECTION 5 PRACTICE CHANGE 397
23 Introduction: practice change fellows initiatives 399
24 Interdisciplinary care of chronically ill adults: communities of care for people living with congestive heart failure in the rural setting 403
25 Collaborative care treatment of late-life depression: development of a depression support service 411
26 Geriatric Telemedicine: supporting interdisciplinary care 427
27 Integrated Patient-Centered Care: the I-PiCC pilot 437
SECTION 6 MEDICARE MANAGED CARE 449
28 Longitudinal care management: High risk care management 451
SECTION 7 INTERNATIONAL CARE COORDINATION 459
29 The experiences in the Republic of Korea 461
Index 471

Produkt-Details

• Erscheint lt. Verlag: 18.7.2011
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Medizin / Pharmazie ► Pflege
• Schlagworte: adults • Care • Change • Chronic • Chronically • Coordination • Demographics • describes • Gesundheits- u. Sozialwesen • growing • Health & Social Care • Health Care Administration • Ill • illnesses • Individuals • Krankenpflege • Krankenpflege im öffentl. Gesundheitswesen, Hausbesuchsdienst • Krankenpflege im öffentl. Gesundheitswesen, Hausbesuchsdienst • lifestyle • Medical Science • Models • Number • nursing • outcomes • presents • Public Health • Public Health Nursing & Health Visiting • Public Health Practice • Public Health / Praxis • Rapid • Sector • shifts • thorough • Verwaltung im Gesundheitswesen
• ISBN-10: 0-470-96086-8 / 0470960868
• ISBN-13: 978-0-470-96086-8 / 9780470960868