Comprehensive Care Coordination

Informationen zum Autor 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. Klappentext 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. Zusammenfassung 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. Inhaltsverzeichnis Editors and Contributors ix Acknowledgments xv Introduction xvii Part 1 Theoretical Concepts 1 Chronic illness 3 Paul Shelton, EdD, Cheryl Schraeder, RN, PhD, FAAN, Michael K. Berkes, BS, MSW Candidate, and Benjamin Ronk, BA 2 Overview 25 Cheryl 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 39 Randall S. Brown, PhD, Arkadipta Ghosh, PhD, Cheryl Schraeder, RN, PhD, FAAN, and Paul Shelton, EdD 4 Promising practices in integrated care 65 Patricia J. Volland, MSW, MBA, and Mary E. Wright 5 Intervention components 87 Cheryl 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 127 Robert Newcomer, PhD, and L. Gail Dobell, PhD 7 Health information technology 141 David A. Dorr, MD, MS and Molly M. King, BA 8 Financing and payment 167 Julianne R. Howell, PhD, Robert Berenson, MD, and Patricia J. Volland, MSW, MBA 9 Education of the interdisciplinary team 191 Emma 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 209 Chad Boult, MD, MPH, MBA, Carol Groves, RN, MPA, and Tracy Novak, MHS 11 Care management plus 221 Cherie P. Brunker, MD, David A. Dorr, MD, MS, and Adam B. Wilcox, PhD <...

List of contents

PART 1 THEORETICAL CONCEPTS
 
1 Chronic illness
Paul Shelton, EdD, Cheryl Schraeder, RN, PhD, FAAN, Michael K. Berkes,
BS, MSW Candidate, and Benjamin Ronk, BA
 
2 Overview
Cheryl 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
Randall S. Brown, PhD, Arkadipta Ghosh, PhD, Cheryl Schraeder, RN,
PhD, FAAN, and Paul Shelton, EdD
 
4 Promising practices in integrated care
Patricia J. Volland, MSW, MBA, and Mary E. Wright
 
5 Intervention components
Cheryl 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
Robert Newcomer, PhD, and L. Gail Dobell, PhD
 
7 Health information technology
David A. Dorr, MD, MS and Molly M. King, BA
 
8 Financing and payment
Julianne R. Howell, PhD, Robert Berenson, MD, and
Patricia J. Volland, MSW, MBA
 
9 Education of the interdisciplinary team
Emma 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
Chad Boult, MD, MPH, MBA, Carol Groves, RN, MPA, and
Tracy Novak, MHS
 
11 Care management plus
Cherie P. Brunker, MD, David A. Dorr, MD, MS, and Adam B. Wilcox, PhD
 
12 Medicare coordinated care
Angela 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
Susan Rosenbek, RN, MS, and Eric A. Coleman, MD, MPH
 
14 Enhanced Discharge Planning Program at Rush University
Medical Center
Anthony 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
Kyle 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)
Brenda Sulick, PhD, and Christine van Reenen, PhD

 
SECTION 4 MEDICAID MODELS
 
17 Introduction to Medicaid care management
Allison Hamblin, MSPH, and Stephen A. Somers, PhD
 
18 The Aetna Integrated Care Management Model: a managed Medicaid
paradigm
Robert M. Atkins, MD, MPH, and Mark E. Douglas, JD, MSN, RN
 
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, Antoinette Krupski, PhD, and Meg
Cristofalo, MSW, MPA
 
20 Predictive Risk Intelligence SysteM (PRISM): a decision-support tool
for coordinating care for complex Medicaid clients
Beverly 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 361
Maria C. Raven, MD, MPH, MSc
 
22 The SoonerCare Health Management Program
Carolyn J. Reconnu, RN, BSN, CCM, and Mike Herndon, DO
 
SECTION 5 PRACTICE CHANGE
 
23 Introduction: practice change fellows initiatives
Eric A. Coleman, MD, MPH, and Nancy Whitelaw, PhD
 
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
 
25 Collaborative care treatmen

Product details

• Authors: C Schraeder, Cheryl Schraeder, Cheryl Shelton Schraeder, Paul S. Shelton
• Assisted by: S Shelton (Editor), S Shelton (Editor), Chery Schraeder (Editor), Cheryl Schraeder (Editor), Schraeder Cheryl (Editor), Paul Shelton (Editor), Paul S. Shelton (Editor), Shelton Paul S. (Editor)
• Publisher: IOWA
• Languages: English
• Product format: Paperback / Softback
• Released: 23.09.2011
• EAN: 9780813811949
• ISBN: 978-0-8138-1194-9
• No. of pages: 480
• Subjects: Natural sciences, medicine, IT, technology > Medicine > General; Krankenpflege, Nursing, Public Health, Health & Social Care, Gesundheits- u. Sozialwesen, Public Health / Praxis, Public Health Practice, Verwaltung im Gesundheitswesen, Health Care Administration, Public Health Nursing & Health Visiting