Comprehensive Care Coordination for Chronically Ill Adults (eBook, ePUB)

Redaktion: Schraeder, Cheryl; Shelton, Paul S.

• Format: ePub

Produktbeschreibung

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.

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Produktdetails

• Verlag: John Wiley & Sons
• Seitenzahl: 480
• Erscheinungstermin: 22. Juli 2011
• Englisch
• ISBN-13: 9780470960875
• Artikelnr.: 37468529

Autorenporträt

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.

Inhaltsangabe

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