Comprehensive care coordination for chronically ill adults
著者
書誌事項
Comprehensive care coordination for chronically ill adults
Wiley-Blackwell, 2011
- : pbk
大学図書館所蔵 全3件
  青森
  岩手
  宮城
  秋田
  山形
  福島
  茨城
  栃木
  群馬
  埼玉
  千葉
  東京
  神奈川
  新潟
  富山
  石川
  福井
  山梨
  長野
  岐阜
  静岡
  愛知
  三重
  滋賀
  京都
  大阪
  兵庫
  奈良
  和歌山
  鳥取
  島根
  岡山
  広島
  山口
  徳島
  香川
  愛媛
  高知
  福岡
  佐賀
  長崎
  熊本
  大分
  宮崎
  鹿児島
  沖縄
  韓国
  中国
  タイ
  イギリス
  ドイツ
  スイス
  フランス
  ベルギー
  オランダ
  スウェーデン
  ノルウェー
  アメリカ
注記
Includes bibliographical references and index
内容説明・目次
内容説明
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.
目次
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
12 Medicare coordinated care 229
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 263
Susan Rosenbek, RN, MS, and Eric A. Coleman, MD, MPH
14 Enhanced Discharge Planning Program at Rush University Medical Center 277
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 293
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) 303
Brenda Sulick, PhD, and Christine van Reenen, PhD
Section 4 Medicaid Models
17 Introduction to Medicaid care management 317
Allison Hamblin, MSPH, and Stephen A. Somers, PhD
18 The Aetna Integrated Care Management Model: a managed Medicaid paradigm 325
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 Medicaidclients with co-occurring medical, mental, and substance abuse disorders 339
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 forcomplex Medicaid clients 349
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 371
Carolyn J. Reconnu, RN, BSN, CCM, and Mike Herndon, DO
Section 5 Practice Change
23 Introduction: practice change fellows initiatives 379
Eric 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 383
Lee Greer, MD, MBA
25 Collaborative care treatment of late-life depression: development of a depression support service391
Eran D. Metzger, MD
26 Geriatric Telemedicine: supporting interdisciplinary care 407
Daniel A. Reece, MSW, LCSW
27 Integrated Patient-Centered Care: the I-PiCC pilot 417
Karyn Rizzo, RN, CHPN, GCNS
Section 6 Medicare Managed Care
28 Longitudinal care management: High risk care management 431
Chandra 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 441
Weon-seob Yoo, PhD, MPH, MD, and Joo-bong Park Oh, MN, MS, PsyD, RN
Index 451
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