A Data Collection Framework for Care Coordination and Clinical Communications About Patients (CAPs)

2013 ◽  
Vol 2 (1) ◽  
pp. 27-29 ◽  
Author(s):  
Wayne Zachary ◽  
Russell Maulitz ◽  
Elissa Iverson ◽  
Chioma Onyekwelu ◽  
Zachary Risler ◽  
...  
Keyword(s):  
Medical Errors ◽  
Care Coordination ◽  
Chronic Illnesses ◽  
Potential Solution ◽  
Illness Episode ◽  
Methodological Difficulty ◽  
Refined Method ◽  
Care Costs ◽  
Informal Process ◽  
Specific Illness

Care coordination unfolds through communications about specific patients between clinicians in the context of a specific illness episode. This is a largely informal process that is also ephemeral, in that it leaves little or no permanent documentary record. Recent research has identified care coordination and communication about patients as a potential solution for improving care for chronic illnesses while reducing health care costs and increasing accountability, and as vehicle for reducing medical errors. However, relatively few empirical data exist on the communications about patients that comprise care coordination, possibly due to the methodological difficulty in gathering such data. A theory-based and empirically refined method for representing and collecting data on CAPs is presented.

Increase in Genetic Counseling and Testing Referrals After Breast Cancer Pathway Implementation

2020 ◽  
Vol 16 (12) ◽  
pp. e1481-e1488
Author(s):  
Stephanie L. Graff ◽  
Jared M. Holder ◽  
Lindsay E. Sears ◽  
Dax Kurbegov
Keyword(s):  
Breast Cancer ◽  
Genetic Counseling ◽  
Observational Study ◽  
Care Coordination ◽  
Genetic Mutations ◽  
Software System ◽  
Potential Solution ◽  
Newly Diagnosed ◽  
Counseling And Testing ◽  
Improve Access

PURPOSE: Genetic counseling and testing (GC/T) for breast cancer–associated genetic mutations are important components in the appropriate management of newly diagnosed breast cancer. We initiated pathways to help appropriately select patients who meet criteria for GC/T referral (GC/T-R) across the Sarah Cannon Cancer Institute Network. This study evaluated physician pathway training as a means to improve access to GC/T-R. METHODS: In this retrospective, observational study, we collected data from 7 regions across 6 states, identifying 3,113 patients eligible for GC/T. Patients were divided into 3 defined cohorts: patients treated before implementation of pathways (n = 988), patients treated by non-pathway physicians after pathways were established (n = 1,094), and patients treated by pathway-trained physicians (n = 1,031). Pathways were established in March 2016. Nurse navigators documented eligible patients who were referred for GC/T within a care coordination software system. RESULTS: Eligible patients were referred for GC/T 71.77% of the time if treated on pathways and only 36.47% of the time if treated off pathways. On-pathway patients eligible for GC/T also received testing referral at a higher rate than pre-pathway patients (21.36%). CONCLUSION: After implementation of pathways and appropriate training of physicians on those pathways, GC/T-R among appropriate patients significantly improved. Pathway training represents a potential solution to improve GC/T-R among patients with breast cancer.

scholarly journals Can Better Care Coordination Lower Health Care Costs?

2018 ◽  
Vol 1 (7) ◽  
pp. e184295 ◽  
Author(s):  
Dhruv Khullar ◽  
Dave A. Chokshi
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Care Coordination ◽  
Lower Health ◽  
Care Costs

Managing Chronic Illness

2016 ◽  
Vol 36 (4) ◽  
pp. 462-479 ◽  
Author(s):  
Mark Toles ◽  
Helene Moriarty ◽  
Ken Coburn ◽  
Sherry Marcantonio ◽  
Alexandra Hanlon ◽  
...  
Keyword(s):  
Older Adults ◽  
Care Coordination ◽  
Chronically Ill ◽  
Well Being ◽  
Models Of Care ◽  
Chronic Illnesses ◽  
Demonstration Program ◽  
Health Quality ◽  
The Impact ◽  
Improve Health

Models of care coordination can significantly improve health outcomes for older adults with chronic illnesses if they can engage participants. The purpose of this study was to examine the impact of nursing contact on the rate of participants’ voluntary disenrollment from a care coordination program. In this retrospective cohort study using administrative data for 1,524 participants in the Health Quality Partners Medicare Care Coordination Demonstration Program, the rate of voluntary disenrollment was approximately 11%. A lower risk of voluntary disenrollment was associated with a greater proportion of in-person (vs. telephonic) nursing contact (Hazard Ratio [HR] 0.137, confidence interval [CI] [0.050, 0.376]). A higher risk of voluntary disenrollment was associated with lower continuity of nurses who provided care (HR 1.964, CI [1.724, 2.238]). Findings suggest that in-person nursing contact and care continuity may enhance enrollment of chronically ill older adults and, ultimately, the overall health and well-being of this population

Medical Practice Guidelines as Malpractice Safe Harbors: Illusion or Deceit?

2012 ◽  
Vol 40 (2) ◽  
pp. 286-300 ◽  
Author(s):  
Maxwell J. Mehlman
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Medical Practice ◽  
Medical Errors ◽  
Practice Guidelines ◽  
Practice Patterns ◽  
Institute Of Medicine ◽  
The Face ◽  
Care Costs

The idea that physicians should accept recommendations from learned colleagues on how to practice medicine is probably as old as medicine itself, but beginning around 1990, it took on new urgency in the face of rising health care costs, widespread, unjustifiable variation in practice patterns, concerns about medical errors and quality of care, and what some perceived to be perverse effects of the malpractice system. One solution put forward was practice guidelines, which the Institute of Medicine (IOM) defined as systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.

scholarly journals Association of a Care Coordination Model With Health Care Costs and Utilization

2018 ◽  
Vol 1 (7) ◽  
pp. e184273 ◽  
Author(s):  
Scott A. Berkowitz ◽  
Shriram Parashuram ◽  
Kathy Rowan ◽  
Lindsay Andon ◽  
Eric B. Bass ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Care Coordination ◽  
Coordination Model ◽  
Care Costs

scholarly journals A Medication Template for Patients with Chronic Medical Conditions to Promote Medication Adherence

2020 ◽  
Author(s):  
Ninad Sanghani
Keyword(s):  
Medication Adherence ◽  
Care Setting ◽  
Primary Care Setting ◽  
Chronic Illnesses ◽  
Improve Medication Adherence ◽  
Additional Information ◽  
Self Confidence ◽  
Low Health Literacy ◽  
The Us ◽  
Care Costs

In primary care setting, patients with chronic illnesses are prescribed and treated with multiple medications. Almost 50% of them do not take their medications as prescribed and this non-adherence causes poor health outcomes and is associated with additional $100 to $300 billion of avoidable health care costs in the US. Main risk factors for this are: low health literacy, lack of self-confidence in understanding purpose, intent, numeracy, dosing schedules, and memory impairment. Educating patients by writing description of medication, its purpose, side effects and additional information in a medication template can overcome the identified issues and improve medication adherence.

Major STD Rates Still Rising; Care Costs $15 Billion

Ob Gyn News ◽  
2007 ◽  
Vol 42 (23) ◽  
pp. 1-9
Author(s):  
HEIDI SPLETE
Keyword(s):  
Care Costs
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