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Comprehensive Care Coordination for Chronically Ill Adults

ISBN: 9780813811949 | 0813811945
Edition: 1st
Format: Paperback
Publisher: Wiley-Blackwell
Pub. Date: 10/11/2011

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SummaryTable of ContentsAuthor Biography
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 the... MORE
Editors and Contributorsp. ix
Acknowledgmentsp. xv
Introductionp. xvii
Theoretical Concepts
Chronic illnessp. 3
Overviewp. 25
Promising practices in acute/primary carep. 39
Promising practices in integrated carep. 65
Intervention componentsp. 87
Evaluation methodsp. 127
Heal... MOREp. 141
Financing and paymentp. 167
Education of the interdisciplinary teamp. 191
Promising Practices
Primary Care Models
Coordination of care by guided care interdisciplinary teamsp. 209
Care management plusp. 221
Medicare coordinated carep. 229
Transitional Care Models
The care transitions interventionp. 263
Enhanced Discharge Planning Program at Rush University Medical Centerp. 277
Integrated Models
Summa Health System and Area Agency on Aging Geriatric Evaluation Projectp. 293
Program of All-Inclusive Care for the Elderly (PACE)p. 303
Medicaid Models
Introduction to Medicaid care managementp. 317
The Aetna Integrated Care Management Model: a managed Medicaid paradigmp. 325
King County Care Partners: a community based chronic care management system for Medicaid clients with co-occurring medical, mental, and substance abuse disordersp. 339
Predictive Risk Intelligence SysteM (PRISM): a decision-support tool for coordinating care for complex Medicaid clientsp. 349
High-risk patients in a complex health system: coordinating and managing carep. 361
The SoonerCare Health Management Programp. 371
Practice Change
Introduction: practice change fellows initiativesp. 379
Interdisciplinary care of chronically ill adults: communities of care for people living with congestive heart failure in the rural settingp. 383
Collaborative care treatment of late-life depression: development of a depression support servicep. 391
Geriatric Telemedicine: supporting interdisciplinary carep. 407
Integrated Patient-Centered Care: the I-PiCC pilotp. 417
Medicare Managed Care
Longitudinal care management: High risk care managementp. 431
International Care Coordination
The experiences in the Republic of Koreap. 441
Indexp. 451
Table of Contents provided by Ingram. All Rights Reserved.
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, Illinois. Paul 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, Illinois.


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