Comprehensive Care Coordination for Chronically Ill Adults
480Comprehensive Care Coordination for Chronically Ill Adults
480eBook
Available on Compatible NOOK devices, the free NOOK App and in My Digital Library.
Related collections and offers
Overview
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.
Product Details
ISBN-13: | 9780470960875 |
---|---|
Publisher: | Wiley |
Publication date: | 07/22/2011 |
Sold by: | JOHN WILEY & SONS |
Format: | eBook |
Pages: | 480 |
File size: | 3 MB |
About the Author
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.
Read an Excerpt
Table of Contents
Editors and Contributors ixAcknowledgments xv
Introduction xvii
Part 1 Theoretical Concepts
1 Chronic illness 3Paul Shelton, EdD, Cheryl Schraeder, RN, PhD, FAAN, Michael K. Berkes, BS, MSW Candidate, and Benjamin Ronk, BA
2 Overview 25Cheryl Schraeder, RN, PhD, FAAN, Paul Shelton, EdD, Linda Fahey, RN, MSN, Krista L. Jones, DNP, MSN, ACHN, RN, and Carrie Berger, BA, MSW Candidate
3 Promising practices in acute/primary care 39Randall S. Brown, PhD, Arkadipta Ghosh, PhD, Cheryl Schraeder, RN, PhD, FAAN, and Paul Shelton, EdD
4 Promising practices in integrated care 65Patricia J. Volland, MSW, MBA, and Mary E. Wright
5 Intervention components 87Cheryl Schraeder, RN, PhD, FAAN, Cherie P. Brunker, MD, Ida Hess, MSN, FNP-BC, Beth A. Hale, PhD, RN, Carrie Berger, BA, MSW Candidate, and Valerie Waldschmidt, BSE
6 Evaluation methods 127Robert Newcomer, PhD, and L. Gail Dobell, PhD
7 Health information technology 141David A. Dorr, MD, MS and Molly M. King, BA
8 Financing and payment 167Julianne R. Howell, PhD, Robert Berenson, MD, and Patricia J. Volland, MSW, MBA
9 Education of the interdisciplinary team 191Emma Barker, MSW, Patricia J. Volland, MSW, MBA, and Mary E. Wright
Part 2 Promising Practices
Section 1 Primary Care Models
10 Coordination of care by guided care interdisciplinary teams 209Chad Boult, MD, MPH, MBA, Carol Groves, RN, MPA, and Tracy Novak, MHS
11 Care management plus 221Cherie P. Brunker, MD, David A. Dorr, MD, MS, and Adam B. Wilcox, PhD
12 Medicare coordinated care 229Angela M. Gerolamo, PhD, APRN, BC, Jennifer Schore, MSW, MS, Randall S. Brown, PhD, and Cheryl Schraeder, RN, PhD, FAAN
Section 2 Transitional Care Models
13 The care transitions intervention 263Susan Rosenbek, RN, MS, and Eric A. Coleman, MD, MPH
14 Enhanced Discharge Planning Program at Rush University Medical Center 277Anthony J. Perry, MD, Robyn L. Golden, LCSW, Madeleine Rooney, MSW, LCSW, and Gayle E. Shier, MSW
Section 3 Integrated Models
15 Summa Health System and Area Agency on Aging Geriatric Evaluation Project 293Kyle R. Allen, DO, AGFS, Joseph L. Ruby, BA, MA, Susan Hazelett, RN, MS, Carolyn Holder, MSN, RN, GCNS-BC, Sandee Ferguson, RN, BBA, MS, Fellow, and Phyllis Yoders, RN, BSN
16 Program of All-Inclusive Care for the Elderly (PACE) 303Brenda Sulick, PhD, and Christine van Reenen, PhD
Section 4 Medicaid Models
17 Introduction to Medicaid care management 317Allison Hamblin, MSPH, and Stephen A. Somers, PhD
18 The Aetna Integrated Care Management Model: a managed Medicaid paradigm 325Robert M. Atkins, MD, MPH, and Mark E. Douglas, JD, MSN, RN
19 King County Care Partners: a community based chronic care management system for Medicaidclients with co-occurring medical, mental, and substance abuse disorders 339Daniel S. Lessler, MD, MHA, Antoinette Krupski, PhD, and Meg Cristofalo, MSW, MPA
20 Predictive Risk Intelligence SysteM (PRISM): a decision-support tool for coordinating care forcomplex Medicaid clients 349Beverly J. Court, MHA, PhD, David Mancuso, PhD, Chad Zhu, MS, and Antoinette Krupski, PhD
21 High-risk patients in a complex health system: coordinating and managing care 361Maria C. Raven, MD, MPH, MSc
22 The SoonerCare Health Management Program 371Carolyn J. Reconnu, RN, BSN, CCM, and Mike Herndon, DO
Section 5 Practice Change
23 Introduction: practice change fellows initiatives 379Eric A. Coleman, MD, MPH, and Nancy Whitelaw, PhD
24 Interdisciplinary care of chronically ill adults: communities of care for people living with congestiveheart failure in the rural setting 383Lee Greer, MD, MBA
25 Collaborative care treatment of late-life depression: development of a depression support service391Eran D. Metzger, MD
26 Geriatric Telemedicine: supporting interdisciplinary care 407Daniel A. Reece, MSW, LCSW
27 Integrated Patient-Centered Care: the I-PiCC pilot 417Karyn Rizzo, RN, CHPN, GCNS
Section 6 Medicare Managed Care
28 Longitudinal care management: High risk care management 431Chandra L. Torgerson, RN, BSN, MS, and Lynda Hedstrom, MSN, APRN, NP-C
Section 7 International Care Coordination
29 The experiences in the Republic of Korea 441Weon-seob Yoo, PhD, MPH, MD, and Joo-bong Park Oh, MN, MS, PsyD, RN
Index 451