Comprehensive care coordination for chronically ill adults / editors, Cheryl Schraeder, Paul Shelton.

Format:

Book

Contributor:

Schraeder, Cheryl.

Shelton, Paul.

Language:

English

Subjects (All):

Chronically ill--United States.

Chronically ill.

Chronic diseases--United States.

Chronic diseases.

Integrated delivery of health care--United States.

Integrated delivery of health care.

Chronic Disease.

United States.

Comprehensive Health Care.

Delivery of Health Care, Integrated.

Health Services Needs and Demand--economics.

Socioeconomic Factors.

Medical Subjects:

Chronic Disease.

United States.

Comprehensive Health Care.

Delivery of Health Care, Integrated.

Health Services Needs and Demand--economics.

Socioeconomic Factors.

Physical Description:

xviii, 465 pages : illustrations ; 25 cm

Place of Publication:

Chichester, West Sussex : Wiley-Blackwell, 2011.

Summary:

Addressing the fragmentation of service delivery often cited by critics of the US health care industry, researchers and practitioners provide a reference for medical, nursing, allied health and social service professionals and students who are interested in providing care and in coordinating health and community services for chronically ill adults. The information is drawn from pilot studies, randomized clinical trials, and federal demonstrations over the past two decades. After a section on theoretical concepts, they describe promising practices using primary care models, transitional care models, integrated models, Medicaid models, practice change, Medicare managed care, and international care coordination. Annotation ©2011 Book News, Inc., Portland, OR (booknews.com)

Contents:

Part 1 Theoretical Concepts

1 Chronic illness / Paul Shelton, EdD EdD, Paul Shelton,, Cheryl Schraeder, RN, PhD, FAAN PhD, Cheryl Schraeder, RN, FAAN, Michael K. Berkes, BS, MSW Candidate Candidate, Michael K. Berkes, BS, MSW, Benjamin Ronk, BA Ronk, Benjamin, BA 3

2 Overview / Cheryl Schraeder, RN, PhD, FAAN PhD, Cheryl Schraeder, RN, FAAN, Paul Shelton, EdD EdD, Paul Shelton,, Linda Fahey, RN, MSN RN, Linda Fahey, MSN, Krista L. Jones, DNP, MSN, ACHN, RN ACHN, Krista L. Jones, DNP, MSN, RN, Carrie Berger, BA, MSW Candidate Candidate, Carrie Berger, BA, MSW 25

3 Promising practices in acute/primary care / Randall S. Brown, PhD PhD, Randall S. Brown,, Arkadipta Ghosh, PhD PhD, Arkadipta Ghosh,, Cheryl Schraeder, RN, PhD, FAAN PhD, Cheryl Schraeder, RN, FAAN, Paul Shelton, EdD EdD, Paul Shelton, 39

4 Promising practices in integrated care / Patricia J. Volland, MSW, MBA MSW, Patricia J. Volland, MBA, Mary E. Wright Wright, Mary E. 65

5 Intervention components / Cheryl Schraeder, RN, PhD, FAAN PhD, Cheryl Schraeder, RN, FAAN, Cherie P. Brunker, MD Brunker, Cherie P., MD, Ida Hess, MSN, FNP-BC FNP-BC, Ida Hess, MSN,, Beth A. Hale, PhD, RN PhD, Beth A. Hale, RN, Carrie Berger, BA, MSW Candidate Candidate, Carrie Berger, BA, MSW, Valerie Waldschmidt, BSE Waldschmidt, Valerie, BSE 87

6 Evaluation methods / Robert Newcomer, PhD PhD, Robert Newcomer,, L. Gail Dobell, PhD PhD, L. Gail Dobell, 127

7 Health information technology / David A. Dorr, MD, MS Dorr, David A., MD, MS, Molly M. King, BA King, Molly M., BA 141

8 Financing and payment / Julianne R. Howell, PhD PhD, Julianne R. Howell,, Robert Berenson, MD Berenson, Robert, MD, Patricia J. Volland, MSW, MBA MSW, Patricia J. Volland, MBA 167

9 Education of the interdisciplinary team / Emma Barker, MSW Barker, Emma, MSW, Patricia J. Volland, MSW, MBA MSW, Patricia J. Volland, MBA, Mary E. Wright Wright, Mary E. 191

Part 2 Promising Practices

Section 1 Primary Care Models

10 Coordination of care by guided care interdisciplinary teams / Chad Boult, MD, MPH, MBA MD, Chad Boult, MD, MPH,, Carol Groves, RN, MPA RN, Carol Groves, MPA, Tracy Novak, MHS Novak, Tracy, MHS 209

11 Care management plus / Cherie P. Brunker, MD Brunker, Cherie P., MD, David A. Dorr, MD, MS Dorr, David A., MD, MS, Adam B. Wilcox, PhD PhD, Adam B. Wilcox, 221

12 Medicare coordinated care / Angela M. Gerolamo, PhD, APRN, BC APRN, Angela M. Gerolamo, PhD, BC, Jennifer Schore, MSW, MS MSW, Jennifer Schore, MS, Randall S. Brown, PhD PhD, Randall S. Brown,, Cheryl Schraeder, RN, PhD, FAAN PhD, Cheryl Schraeder, RN, FAAN 229

Section 2 Transitional Care Models

13 The care transitions intervention / Susan Rosenbek, RN, MS RN, Susan Rosenbek, MS, Eric A. Coleman, MD, MPH Coleman, Eric A., MD, MPH 263

14 Enhanced Discharge Planning Program at Rush University Medical Center / Anthony J. Perry, MD Perry, Anthony J., MD, Robyn L. Golden, LCSW Golden, Robyn L., LCSW, Madeleine Rooney, MSW, LCSW MSW, Madeleine Rooney, LCSW, Gayle E. Shier, MSW Shier, Gayle E., MSW 277

Section 3 Integrated Models

15 Summa Health System and Area Agency on Aging Geriatric Evaluation Project / Kyle R. Allen, DO, AGFS DO, Kyle R. Allen, AGFS, Joseph L. Ruby, BA, MA BA, Joseph L. Ruby, MA, Susan Hazelett, RN, MS RN, Susan Hazelett, MS, Carolyn Holder, MSN, RN, GCNS-BC GCNS-BC, Carolyn Holder, MSN, RN,, Sandee Ferguson, RN, BBA, MS BBA, Sandee Ferguson, RN, MS, Fellow, Phyllis Yoders, RN, BSN RN, Phyllis Yoders, BSN 293

16 Program of All-Inclusive Care for the Elderly (PACE) / Brenda Sulick, PhD PhD, Brenda Sulick,, Christine van Reenen, PhD PhD, Christine van Reenen, 303

Section 4 Medicaid Models

17 Introduction to Medicaid care management / Allison Hamblin, MSPH Hamblin, Allison, MSPH, Stephen A. Somers, PhD PhD, Stephen A. Somers, 317

18 The Aetna Integrated Care Management Model: a managed Medicaid paradigm / Robert M. Atkins, MD, MPH Atkins, Robert M., MD, MPH, Mark E. Douglas, JD, MSN, RN MSN, Mark E. Douglas, JD, RN 325

19 King County Care Partners: a community based chronic care management system for Medicaid clients with co-occurring medical, mental, and substance abuse disorders / Daniel S. Lessler, MD, MHA Lessler, Daniel S., MD, MHA, Antoinette Krupski, PhD PhD, Antoinette Krupski,, Meg Cristofalo, MSW, MPA MSW, Meg Cristofalo, MPA 339

20 Predictive Risk Intelligence SysteM (PRISM): a decision-support tool for coordinating care for complex Medicaid clients / Beverly J. Court, MHA, PhD PhD, Beverly J. Court, MHA,, David Mancuso, PhD PhD, David Mancuso,, Chad Zhu, MS Zhu, Chad, MS, Antoinette Krupski, PhD PhD, Antoinette Krupski, 349

21 High-risk patients in a complex health system: coordinating and managing care / Maria C. Raven, MD, MPH, MSc MSc, Maria C. Raven, MD, MPH, 361

22 The SoonerCare Health Management Program / Carolyn J. Reconnu, RN, BSN, CCM BSN, Carolyn J. Reconnu, RN, CCM, Mike Herndon, DO Herndon, Mike, DO 371

Section 5 Practice Change

23 Introduction: practice change fellows initiatives / Eric A. Coleman, MD, MPH Coleman, Eric A., MD, MPH, Nancy Whitelaw, PhD PhD, Nancy Whitelaw, 379

24 Interdisciplinary care of chronically ill adults: communities of care for people living with congestive heart failure in the rural setting / Lee Greer, MD, MBA Greer, Lee, MD, MBA 383

25 Collaborative care treatment of late-life depression: development of a depression support service / Eran D. Metzger, MD Metzger, Eran D., MD 391

26 Geriatric Telemedicine: supporting interdisciplinary care / Daniel A. Reece, MSW, LCSW MSW, Daniel A. Reece, LCSW 407

27 Integrated Patient-Centered Care: the I-PiCC pilot / Karyn Rizzo, RN, CHPN, GCNS CHPN, Karyn Rizzo, RN, GCNS 417

Section 6 Medicare Managed Care

28 Longitudinal care management: High risk care management / Chandra L. Torgerson, RN, BSN, MS BSN, Chandra L. Torgerson, RN, MS, Lynda Hedstrom, MSN, APRN, NP-C NP-C, Lynda Hedstrom, MSN, APRN, 431

Section 7 International Care Coordination

29 The experiences in the Republic of Korea / Weon-seob Yoo, PhD, MPH, MD MPH, Weon-seob Yoo, PhD, MD, Joo-bong Park Oh, MN, MS, PsyD, RN MS, Joo-bong Park Oh, MN, MS, PsyD, 441.

Notes:

Includes bibliographical references and index.

ISBN:

9780813811949

0813811945

OCLC:

720560537